Dysthymia, also called persistent depressive disorder, is a mental condition characterized by long-term depression. An individual affected by dysthymia may feel sad, lose interest in everyday activities, feel hopeless, be unproductive, and have low self-respect. These feelings may last for years and eventually interfere with daily activities, relationships, etc. The condition is difficult to treat, but a combination of medication and psychotherapy may help alleviate the symptoms.
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I feel fatigued easily after a long night's sleep. What should I do?
Query: Hello doctor, I have a health concern that is related to sleep medicine. For the last three years, I have had a sleep pattern that is characterized by seven to eight hours of continuous rest during the night. But, during the day from morning till lunch, fatigue starts to build-up to a point where I ... Read Full »
Answer: Hello, Welcome to icliniq.com. I advise you to get yourself examined by a doctor for thyroid hormone-related issues, as it is one of the most common causes of sleep pattern disturbances. I also advise you to exercise that will help you to have good endorphins in your brain and keep you awake d... Read Full »
I have started to doubt myself because I lack confidence. How can I regain my confidence?
Query: Hi doctor, I m a 21-year-old final-year medical student. I was a confident, bold, and positive person in my childhood. But now, I lack confidence in all aspects of my life. It has started to affect me to the point where I self-doubt and second-guess myself. It affects me to the point where I have ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. You are a medical student, which means you are brilliant at your studies. Keep hope and confidence. I will suggest you do mild exercises and yoga if possible. It will increase positivity in life by releasing endorphins. The symptoms you menti... Read Full »
Will I get discontinuation syndrome if I cut on Effexor?
Query: Hi doctor, I am a male. My height is 72 inches, and my weight is 182 pounds. I am seeing a psychiatrist for dysthymia, MDD, and ADHD. I have been on Effexor for three years and in the last year, on 300 milligrams. It has helped tremendously, but I do not want to be on medication forever. I feel like... Read Full »
Answer: Hi, Welcome to icliniq.com. I can understand your situation. I want to ask if you are taking the above medications under psychiatrist observation or self-medication. You can taper off Effexor, but it takes time as you are on a high dose, like 300 milligrams. You take 225 milligrams for six weeks, ... Read Full »
How to come out of loneliness?
Query: Hi doctor, I have a mind flip problem. My emotions get changed every hour. I am studying and living in a hostel. I have the feeling of loneliness. I do not want to be alone. I do not know how to deal with it. Read Full »
Answer: Hi, Welcome to icliniq.com. Mood swings with frequent low mood episodes can occur due to lots of causes. If there is variation in a menstrual cycle, it can be a premenstrual syndrome. If you have a predominantly low mood, it can be dysthymia which is a low grade chronic long-term depression. As you ... Read Full »
I am an 18-year-old with depression for six years. Could it be clinical depression or dysthymia?
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 clin... Read Full »
Answer: 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 epi... Read Full »
Query: Hi doctor, I used to mingle with people a lot, but since past two years, I am not talking to anyone. I like to be alone. Nowadays, I am always alone, and I have no proper friends too. People think I am immature. The fact is that I do not show the real me. Two years back I had a bad breakup, and sinc... Read Full »
Answer: Hi, Welcome to icliniq.com.I understand your issue. You are probably going through a phase called as adjustment disorder or dysthymia. You need to try to get out of it actively by following thing like. Try to engage yourself in things you like, start a new resolution and work for it, practice yoga ... Read Full »
What is the treatment for attention deficit disorder?
Query: Hello doctor, I am suffering from attention deficit and disturbed memory problems. It affects the speed of my work. Presently I am taking tablet Fenofibrate 145 mg once daily and tablet Avital once daily for high triglycerides and disturbed lipids. Kindly suggest a treatment for my above problems. Read Full »
Answer: Hi, Welcome to icliniq.com I have thoroughly read your query. But only with this much detail of symptoms, it is difficult to reach the diagnosis. So, please elaborate on your symptoms and answer a few questions for how long have you been suffering from these problems? Do you have other depressive sy... Read Full »
I have been diagnosed with dysthymia depression. Kindly prescribe the medications.
Query: Hello doctor, I love myself and think I am a great guy, but feel no one else sees that. I have feelings of pending failure, feelings of inadequacy, fear of rejection, fear of police, fear of persecution, lots of mental ambition but no energy to actually do anything because I am convinced I would fa... Read Full »
Answer: Hi, Welcome to icliniq.com. Yes, you are on right medication. Bupropion is a good antidepressant and very safe although it can cause insomnia, anxiety and dizziness as side effects in few patients but it would decrease on its own. Sertaline is an SSRI drug. As an antidepressant, Sertraline is so ... Read Full »
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