HomeAnswersPsychiatrydepressionI am an 18-year-old with depression for six years. Could it be clinical depression or dysthymia?

What is the difference between clinical depression and dysthymia?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Aditya Gupta

Medically reviewed by

iCliniq medical review team

Published At August 29, 2023
Reviewed AtAugust 29, 2023

Patient's Query

Hello doctor,

I am 18 years old and have been experiencing symptoms of some sort of depression for over six years. I did not realize that what I had been feeling was not normal until about a month ago. I currently do not know what type of depression I am experiencing, but I suspect it is either clinical depression or dysthymia. The only problem I find with dysthymia is that it is supposed to be mild with only two or three symptoms, whereas I am experiencing far more. I've taken ten different online tests and everyone came back as my level being severe or extremely severe. My symptoms are persistent sadness, emptiness, worthlessness, hopelessness, low self-esteem, and guilty feelings. Fun stuff like reading and drawing are not interesting. I can sleep for 12 hours and more and still be tired with feelings of fatigue and decreased energy. I overeat a lot and have noticed a gain in weight, everything seems hard, even the dishes. My memory sucks, along with my concentration. I get irritated easily and making decisions is difficult. Nothing has changed in the last several years, there are no 'good' days, nor any 'bad' ones. They are all the same, just that gaping hole of nothing all the time, every day, 24 hours, for years and years. Thankfully, I have not been cutting, nor I am suicidal. I have heard of double depression and it might be a possibility. I also suffer from social anxiety, if that makes a difference. If you could please enlighten me on this subject, it would be most appreciated. Please help.

Answered by Dr. Aditya Gupta

Hello,

Welcome to icliniq.com

I read your query and understand your concern. Thank you for reaching out. Mood disorders can be chronic if they begin early. Functional impairment in childhood depression extends to all areas of academic, social, and family relations. The mean length of depressive episodes is also longer in children and they are often recurrent. Early onset dysthymia is often comorbid with major depression. What I want to say is that double depression is the presence of major depression with comorbid dysthymia is a possibility here. Anxiety can be associated with depression and sometimes childhood depression presents as irritability anxiety. But what is important here is that treatment is possible and you do not need to suffer. Kindly consult a psychiatrist in person for detailed evaluation and treatment. Both medications and psychotherapy are available for treating it. Hope this solves your query. feel free to ask if you have any further queries.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Aditya Gupta
Dr. Aditya Gupta

Psychiatry

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