你有温和,低级别的抑郁症吗?

Depressed young man

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在本文中

患有轻度,轻度抑郁症状ay not even realize they are depressed. In fact, the chronic feelings of sadness and low mood they experience may have been around for so long that they feel normal.

However, it is not normal to go through life feeling unhappy all of the time. Everyone experiences occasional bouts of low mood in response to sad or stressful life events, but constantly feeling depressed does not have to be the story of your life.

Symptoms

慢性低级抑郁症是持续抑郁症(PDD)的症状,以前称为dysthymia或令人障碍症疾病。

Dysthymia was previously listed separately from chronic major depression in theDiagnostic and Statistical Manual of Mental Disorders但是,由于第五版结合起来,障碍已被组合,因为它们之间没有发现科学有意义的差异。

The signs and symptoms of PDD are very similar tomajor depressive disorder,除了他们往往更温和并且是慢性的。

PDD的症状包括:

  • 食欲或重量变化
  • 疲劳
  • Feelings of hopelessness, worthlessness, or guilt
  • Lack of enjoyment or pleasure in things
  • 低能量和动力减少
  • Restlessness
  • 悲伤,泪流满面,频繁哭泣
  • Sleep problems
  • 死亡或自杀的思想
  • Trouble concentrating, focusing, and making decisions

If you are having suicidal thoughts, contact theNational Suicide Prevention Lifelineat1-800-273-8255用于培训辅导员的支持和援助。如果您或亲人在立即危险,请致电911。

为了更多的心理健康万博手机客户端资源,看看我们的National Helpline Database

Causes

As with major depressive disorder, persistent depressive disorder is also believed to be a multifactorial condition—meaning they are likely caused by a combination of genetic susceptibility, biochemical imbalance, life stress, and environmental circumstances.

在约四分之三的患病患者中,疾病的主要原因尚不清楚。但有PDD的人往往具有其他复杂因素,例如慢性疾病,另一种精神疾病或物质使用问题

In these cases, it becomes very difficult to say whether the depression would exist independently of the other condition. In addition, thesecomorbid conditions经常创造一个恶性循环,其中每种疾病使其他难以治疗更难以治疗。

Diagnosis

Like other forms of depression, there isn't really ablood test或脑扫描可用于诊断令心病症。相反,医生必须通过他们可以观察的标志以及任何症状患者向他们报告。

Doctors and mental health professionals can check to see if a patient's symptoms fit into a pattern laid out by the DSM-5, a guidebook for diagnosing mental disorders such as depression.

With dysthymic disorder, doctors will need to determine if the patient's symptoms have been present for an extended period of time (a minimum of two years for adults and one year for children). In addition, they will consider whether the severity of the symptoms is less than what a patient might experience with a major depressive disorder.

医生也将使用血液和尿液测试来试图rule out possible medical conditions(如甲状腺功能减退症)可能导致慢性轻度抑郁等症状。

Other factors a doctor will consider when making a diagnosis include a patient's medical history, as well as whether there is a history of depression in their family.

治疗

持续的抑郁症对许多用于治疗重症抑郁症的许多相同的治疗方法。通常规定抗抑郁药物,选择性血清素再摄取抑制剂(SSRIS)是一种受欢迎的选择。

此外,心理治疗,也称为谈话治疗,通常对慢性低级抑郁症的人们来说往往是非常有用的。您必须与您的精神保健提供者合作,开发一个最适合您的治疗计划。万博手机客户端

Depression Discussion Guide

Get our printable guide to help you ask the right questions at your next doctor's appointment.

思想DOC指南

应对

还有几种自我护理治疗方法可以帮助治疗慢性轻度抑郁症。以下是要记住的一些建议:

  • 瞄准30分钟的中度激烈的运动most days of the week, and add vigorous exercise if you are able to do so.
  • 避免酒精和非法毒品
  • Be sure that you are taking your medications correctly。Tell your doctor about any supplements or herbal remedies you take.
  • Eat a varied and nutritious饮食
  • Find things to do that you enjoy
  • 得到足够的sleep并确保您有一个宁静的睡眠环境。
  • Seek out people for friends who are positive,支持, and show that they care about you.

如果您已被诊断出患有Dysthymia,但您的抑郁症状越来越差,请确保您与医生交谈。他们将重新评估您的症状并在必要时调整治疗。

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文章来源
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read oureditorial process要了解有关我们如何检查的更多信息,请保持内容准确,可靠和值得信赖。
  1. Persistent Depressive Disorder。美国国家医学图书馆。2018年7月8日审查。

  2. Depression。国家心理健康研究所。万博手机客户端2018年2月修订。

  3. Melrose S.持续抑郁症或缺陷症:评估和治疗方法的概述Open Journal of Depression。2017;06(01):1-13. doi:10.4236/ojd.2017.61001

  4. Patel RK, Rose GM.持续抑郁症(Dysthymia)Diagnostic and Statistical Manual of Mental Disorders.第五届。阿灵顿,VA:美国精神病出版;2013; 168-171。