A. Early Onset Dysthymia: Onset occurs before age 21.
B. Late Onset Dysthymia: Onset occurs at age 21 or older.
C. Dysthymia with Atypical Features is accompanied by mood reactivity and at least 2 of the following:
3. "Leaden" paralysis, characterized by a feeling of being heavy or weighted down physically.
4. A chronic pattern of rejection sensitivity often results in significant social or occupational dysfunction.
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