Treatment of Dysthymic Disorder

Treatment of dysthymic disorder requires a holistic treatment. We can not just rely on other forms of treatment with pharmacotherapy. Other forms of psychotherapy treatment as objectively support such as therapy and cognitive behavior therapy would be more effective for the treatment of dysthymic disorder.

Cognitive therapy
Cognitive therapy is a technique that is used to teach patients how to behave with a new mindset. Cognitive therapy aims to eliminate negative attitudes and judgments are wrong about us, their world and their future. Cognitive therapy for dysthymic disorder is a short-term therapy programs oriented to the current problem.

Behavioral therapy
depression can be caused by the loss of a positive response as a result of separation, sudden environmental changes, or death. Variety of treatment methods for dysthymic disorder is focus on specific purpose for increasing activity, to provide an enjoyable experience, and to teaching them how to relax. Changing personal behavior in depressed patients is believed to be the most effective way to change minds and feelings of depression-related. Behavior therapy often used to treat learned helplessness from several patients who seem to meet every challenge of life with a sense of impotence.

Insight-Oriented (Psychoanalytic) Psychotherapy
Individual insight-oriented psychotherapy is the most common method of treatment for dysthymic disorder, and many doctors consider treatment options. Psychotherapy approach attempts to link development and maintenance of depressive symptoms and maladaptive personality features unresolved conflicts from childhood. Insight into the equivalent of depression (eg, substance abuse) or to a child as an antecedent to adult depression disappointment can be obtained through treatment. Currently ambivalent relationship with parents, friends, and others in this life of patients examined. Patient's understanding of how they seek to satisfy excessive for approval outside to counter low self-esteem and harsh superego is an important goal of this therapy.


Interpersonal Therapy
In interpersonal therapy for this mood disorders, a patient's current interpersonal experiences and ways of coping with stress are examined to reduce depressive symptoms and to improve self-esteem. Interpersonal therapy lasts for about 12 to 16 weekly sessions and can be combined with antidepressant medication.

Family and Group Therapies
Family therapy may help both the patient and the patient's family deal with the symptoms of the disorder, especially when a biologically based subaffective syndrome seems to be present. Group therapy may help withdrawn patients learn new ways to overcome their interpersonal problems in social situations.

Pharmacotherapy
Because of long-standing and commonly held theoretical beliefs that dysthymic disorder is primarily a psychologically determined disorder, many clinicians avoid prescribing antidepressants for patients; however, many studies have shown therapeutic success with antidepressants. The data generally indicate that selective serotonin reuptake inhibitors (SSRIs) venlafaxine and wellbutrin (bupropion) are an effective treatment for patients with dysthymic disorder. Monoamine oxidase inhibitors (MAOIs) are effective in a subgroup of patients with dysthymic disorder, a group who may also respond to the judicious use of amphetamines.

Hospitalization
Hospitalization is usually not indicated for patients with dysthymic disorder, but particularly severe symptoms, marked social or professional incapacitation, the need for extensive diagnostic procedures, and suicidal ideation are all indications for hospitalization to treatment of dysthymic disorder.