Signs & Symptoms

  • Low self-esteem
  • Feelings of hopelessness
  • Persistent feelings of sadness
  • Feeling hopeless or helpless
  • Having low self-esteem
  • Feeling inadequate
  • Excessive guilt
  • Feelings of wanting to die
  • Loss of interest in usual activities
  • Difficulty with relationships
  • Sleep disturbances (i.e., insomnia, hypersomnia)
  • Changes in appetite or weight
  • Decreased energy
  • Difficulty concentrating
  • A decrease in the ability to make decisions
  • Suicidal thoughts or attempts
  • Hypersensitivity to failure or rejection
  • Irritability, hostility, aggression
  • Running away or threats of running away from home
  • Frequent physical complaints (i.e., headache, stomach ache, fatigue)

Co-occurring disorders

At least three-quarters of people with dysthymia have depressive episodes or other psychiatric disorder such as anxiety, substance abuse, learning disorders, or conduct disorder.