Clinical Features of Dysthymic Disorder

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A. Symptoms of dysthymic disorder are similar to those of major depression. The most common symptoms are loss of pleasure in usually pleasurable activities, feelings of inadequacy, social withdrawal, guilt, irritability, and decreased productivity.

B. Changes in sleep, appetite or psychomotor behavior are less common than they are in major depressive disorder.

C. Patients often complain of multiple physical problems which may interfere with occupational or social functioning. Psychotic symptoms are not present.

D. Episodes of major depression may occur after the first two years of the disorder. The combination of dysthymia and major depression is known as "double depression."

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