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.
