Persistent Depressive Disorder
Persistent depressive disorder (dysthymia) is chronic depression lasting two years or more, with less intense but long-lasting symptoms.
When to Book
Book a visit if symptoms are affecting your daily life, relationships, work, or sleep. Early evaluation leads to better outcomes.
Symptoms
Low mood most days, low energy, poor self-esteem, difficulty with decisions, hopelessness, and sleep or appetite changes.
Causes & Risk Factors
Chronic stress, early adversity, genetics, and co-occurring anxiety or medical illness.
How We Evaluate
Symptom timeline, prior treatments, daily functioning, and screening for overlapping major depressive episodes.
Treatment Options
Therapy (CBT or interpersonal), medication, and structured daily routines with consistent follow-up.
When It Is Urgent
Seek help if symptoms deepen suddenly, you develop suicidal thoughts, or you cannot manage daily responsibilities.
Frequently Asked Questions
When should I see a mental health provider?
When symptoms interfere with work, relationships, sleep, or daily functioning.
Can mental health conditions be treated with telehealth?
Many visits work well by telehealth, including therapy check-ins and medication management.
Will I need medication?
Not always. Treatment is individualized and may include therapy, lifestyle changes, medication, or a combination.
How long does treatment usually take?
Duration varies. Some people improve in weeks; others benefit from ongoing support.
Is my information kept confidential?
Yes. Mental health records are protected by federal and state privacy laws.
Get Support for Persistent Depressive Disorder
Our mental health team provides confidential, evidence-based care tailored to your needs.