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-Genetic Susceptibility
-Neurochemical imbalances
-Stress and Trauma as an adult or child
-Social circumstances

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(Are extremely similar to Major Depression)

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"A 53-year-old female (menopause: 51-year-old) came to DJOM requesting Kampo treatment for dysthymic disorder with sleeplessness, malaise and nervousness without vasomotor symptoms, consisting of hot flashes and sweating, which had persisted for about 5 years. She was a housewife and barely performed housework. She had not been taking antidepressant therapy, although she was taking hypotensive drugs for essential hypertension. Depressive symptoms were relieved after 4 months of KUT treatment and the improvement continued for 6 months. However, sleeplessness, easy fatigability and appeteite loss reappeared. Therefore, we changed KUT to another kampo formula (Kamikihito: decoction) and have obtained improvement by 50%. Her GAF scale changed from 70–61 to 90–81.In all cases, there were no remarkable findings in the chest or abdomen, hepato-renal and thyroid functions appeared normal on both blood analysis and image diagnosis, and dysthymic disorder had been diagnosed by a psychiatrist based on DSM-IV criteria. During the follow-up periods, there were no adverse reaction attributable to Kampo medicines."

# data[].attributes.subject
"A 53-year-old female (menopause: 51-year-old) came to DJOM requesting Kampo treatment for dysthymic disorder with sleeplessness, malaise and nervousness without vasomotor symptoms, consisting of hot flashes and sweating, which had persisted for about 5 years. She was a housewife and barely performed housework. She had not been taking antidepressant therapy, although she was taking hypotensive drugs for essential hypertension. Depressive symptoms were relieved after 4 months of KUT treatment and the improvement continued for 6 months. However, sleeplessness, easy fatigability and appeteite loss reappeared. Therefore, we changed KUT to another kampo formula (Kamikihito: decoction) and have obtained improvement by 50%. Her GAF scale changed from 70–61 to 90–81.In all cases, there were no remarkable findings in the chest or abdomen, hepato-renal and thyroid functions appeared normal on both blood analysis and image diagnosis, and dysthymic disorder had been diagnosed by a psychiatrist based on DSM-IV criteria. During the follow-up periods, there were no adverse reaction attributable to Kampo medicines."

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"More than half of people with dysthymia eventually have an episode of major depression, and about half of patients treated for major depression are suffering from this double depression. Many patients who recover partially from major depression also have milder symptoms that persist for years. This type of chronic depression is difficult to distinguish from dysthymia."

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"More than half of people with dysthymia eventually have an episode of major depression, and about half of patients treated for major depression are suffering from this double depression. Many patients who recover partially from major depression also have milder symptoms that persist for years. This type of chronic depression is difficult to distinguish from dysthymia."

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"The American Psychiatric Association defines dysthymia as depressed mood most of the time for at least two years, along with at least two of the following symptoms: poor appetite or overeating; insomnia or excessive sleep; low energy or fatigue; low self-esteem; poor concentration or indecisiveness; and hopelessness."

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"The American Psychiatric Association defines dysthymia as depressed mood most of the time for at least two years, along with at least two of the following symptoms: poor appetite or overeating; insomnia or excessive sleep; low energy or fatigue; low self-esteem; poor concentration or indecisiveness; and hopelessness."

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Someone with depression is constantly in a negative state of mind where as someone with dysthymic disorder can be fine for weeks a time then randomly experience these symptoms

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-Poor appetite or overeating
-Insomnia or hypersomnia
-Low energy or fatigue
-Low self-esteem
-Poor concentration or difficulty making decisions
-Feelings of hopelessness
-etc.

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When a person experiences these symptoms, it is no more than 2 months at a time over a span of 2 years

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When a person experiences these symptoms, it is no more than 2 months at a time over a span of 2 years

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It is best described as a long term form of depression.

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It is best described as a long term form of depression.

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However it has fewer or less serious symptoms in comparison.