Persistent Depressive Disorder

There are a number of different depressive disorders out there, but most of the attention is drawn to Major Depressive Disorder......

Depression
March 21, 2025

There are a number of different depressive disorders out there, but most of the attention is drawn to Major Depressive Disorder.

Major Depressive Disorder or MDD is a serious condition that affects millions of people, but this post is about a lesser-known disorder known as Persistent Depressive Disorder, also known as Dysthymia.

Persistent Depressive Disorder has a lot of commonalities with MDD, as you might have guessed from the name alone.

But, there are significant differences that attention should be drawn to.

As always, these blogs are meant to be informative, NOT diagnostic.

If you seem to experience many of the symptoms discussed, talk to your doctor or mental health service provider to get more information and the help you need.

Now, let's take a look at how Persistent Depressive Disorder is similar to and different from MDD.

Similarities

As mentioned above, you probably have guessed the major similarity between Persistent Depressive Disorder and MDD already, Depression.

Like MDD, Persistent Depressive Disorder is characterized by having a depressed mood most of the day for more days than not.

What does a depressed mood look like? Here are some key signs of a depressed mood:

1) Poor appetite or overeating

2) Insomnia or Hypersomnia

3) Low energy or fatigue

4) Low self-esteem

5) Poor concentration

6) Feelings of hopelessness

These symptoms are tell-tale signs of both MDD and Persistent Depressive Disorder.

With so many commonalities it can be hard to assess what is really going on, and that's where the differences are crucial.

Differences

The biggest, but not the only difference, is longevity.

Just like the name states, Persistent Depressive Disorder is Persistent.

How persistent?

At least 2 Years!

That's a long time.

MDD is marked by lasting at least 2 weeks, while Persistent Depressive Disorder doesn't meet the mark until the symptoms have been present for at least 2 years straight.

Throughout that whole period, the person can't have gone more than 2 months without the symptoms mentioned above.

Another difference is the number of symptoms met.

For MDD that means 5 symptoms met consistently for at least 2 weeks; for Persistent Depressive Disorder, it's at least 2 symptoms for 2 years or more.

For that reason, some people consider Persistent Depressive Disorder to be considered a "high-functioning" MDD due to the fewer quantity of symptoms met at a time.

However, there are many people who meet 5 or more symptoms for the entire duration.

A cartoon image of a person at a fork in the road.

What You Can do About it

Some of you may be wondering what you can do about depression, or if there are different treatment approaches for different types of depression.

The good news is, whether you're working through MDD or Persistent Depressive Disorder, many of the treatment approaches are the same!

The root cause of depression is still unknown- there are biological components, social, and sometimes even genetic implications.

However, there are some things that work to decrease depression across the board, here are a few:

1) Healthy Diet

2) Regular Exercise

3) Consistent sleep and wake-up times

4) Journaling

5) Goal setting

6) Play

7) Positive social circle

If you feel like you meet all these but still struggle with depression talk to a mental health care provider or your primary care doctor to find out all your options.

This list is by no means exhaustive, but it should give you a great start!

Conclusion

Above we covered how MDD and Persistent Depressive Disorder share many of the same symptoms such as loss of appetite, lethargy, low self-esteem, and feelings of hopelessness.

We also learned that the biggest difference was that MDD requires 5 symptoms lasting at least 2 weeks while Persistent Depressive Disorder requires at least 2 symptoms for a minimum of 2 years!

Lastly, we covered a variety of approaches that help reduce depressive symptoms such as diet, exercise, social circle, goal setting, and consistent sleep schedules.

If you feel that you meet the above criteria don't hesitate to reach out to a mental health service provider to see what help is available.

Author
Jennifer Luttman, LPC, ACS

I am a Licensed Professional Counselor, and owner of Overcomers Counseling. I'm dedicated to helping individuals find strength and healing through life’s challenges. With a deep understanding of mental health and years of professional experience, I specialize in fostering hope and resilience while equipping her clients with tools to thrive. Passionate about empowering others, she creates a safe, supportive space where everyone feels seen, valued, and capable of overcoming obstacles on their path to well-being.

Common Questions about Depression

How long does depression counseling typically take?

The duration of depression counseling varies for each individual, depending on the severity of their depression and their progress in therapy. Our therapists will regularly assess your progress and adjust your treatment plan as needed.

Is medication a necessary part of treating depression?

While medication is not always required for managing depression, it can be beneficial in some cases. If you decide that medication is right for you, medications such as antidepressants work by balancing certain brain chemicals involved in regulating moods. Other options include mood stabilizers or antipsychotic drugs which may also prove helpful for certain individuals struggling with symptoms of depression.

I don't want to ruin the holidays for my family by being sad all the time. What can I do?

It's important to remember that you are allowed to grieve however you need to, and that doesn't mean you have to ruin the holidays for everyone else. If you need to take a break from holiday festivities, do so. Go for a walk, take a nap, watch a movie—whatever you need to do to take care of yourself. You can also try talking to your family about your grief ahead of time and asking for their understanding and support.

What is Depression?

Depression is a mental disorder (a common one) that affects millions of people worldwide. It is characterized by persistent feelings of sadness, hopelessness, and loss of interest in activities once enjoyed.In this section, we will discuss the various types of depression, including major depressive disorder, persistent depressive disorder, and bipolar disorder.Gaining a deeper understanding of your depression is the first step in finding the right treatment and support.

What are the benefits of therapy for treating depression?

Therapy provides many benefits for people battling depression. Research has shown that cognitive-behavioral therapy (CBT) is particularly effective in managing depressive symptoms. In addition, therapy can teach healthy coping skills and provide emotional support during difficult times. It may also be used as part of a comprehensive treatment plan which includes medication as well as lifestyle changes such as regular exercise and improved nutrition.

Are there specific therapy services for anxiety and depression covered by Medicaid?

Yes, Medicaid provides insurance coverage for therapy services specifically designed to help individuals struggling with anxiety, depression, and other mental health conditions. Access to licensed therapists who specialize in these areas is available within the Medicaid network.