Key features of depression and its management in general practice.
 
 

"..I'm not like other people.."

 
1. Fatima now fulfils the DSM-IV criteria for dysthymic disorder.
2. Fatima's claim that she has 'always' been depressed is characteristic of dysthymia.
3. Characteristic features of dysthymia include marked disturbances in appetite and libido.
4. People with dysthymic disorder are usually able to maintain employment.
5. Dysthymia usually presents suddenly, after a stressful life event.
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1. Fatima now fulfils the DSM-IV criteria for dysthymic disorder.

Author's answer: True

Dysthymic disorder denotes a chronic low-grade depression, characterized by pervasive dysphoric mood for at least 2 years (15). Fewer symptoms are required for the diagnosis, and symptoms may be less severe.