Symptoms of dysthymia include feelings of hopelessness, insomnia or hyperinsomnia, low energy or fatigue, poor appetite or overeating, and poor concentration. The main symptom, however, is a low, dark, or sad mood almost every day for at least two years. These symptoms are less severe than in patients with major depression.
When I was finally diagnosed with depression at age 27, after twenty years of suffering from one type of depressive disorder or another, it was because I was going through a major depression at that particular time. It was only the third major depression I had experienced, and all three had occurred after the age of twenty. For all their ferocity,…