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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2. Fatima's claim that she has 'always' been depressed is characteristic of dysthymia.

Author's answer: True

Dysthymic disorder usually dates back to late childhood or the teens. Most patients claim that they have always been depressed.