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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3. Characteristic features of dysthymia include marked disturbances in appetite and libido.

Author's answer: False

In dysthymic disorder, symptoms are attenuated. Marked disturbances in appetite and libido are uncharacteristic, and psychomotor agitation or retardation is not observed.