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Dr. Chisato

Let’s chat about PDD

you may have heard people say “PDD”- and it can honestly stand for quite a few things! But today, let’s chat about Persistent Depressive Disorder. It used to be called m dysthymia, and it is a type of chronic depression that often flies under the radar. It's not as intense as major depression, but its long-lasting nature can be just as challenging. Let’s talk about what PDD is, how to recognize it, and some friendly advice on managing it.


So… What is Persistent Depressive Disorder?

PDD is a continuous, low-grade depression that lasts for at least two years in adults (or one year in kids and teens). Imagine it as a grey cloud that sticks around, making everything feel a bit more difficult. It doesn't have the severe episodes of major depression, but its constant presence can really take a toll. I have heard some of my clients say that it feels like a dull weight that is just constantly there.


What are the symptoms ? The symptoms of PDD can be subtle but persistent. They include:

- Chronic Low Mood: Feeling down or hopeless most days. For children and adolescents, this may also be irritability!

- Loss of Interest: Not enjoying activities you used to love.

- Fatigue: Always feeling tired and low on energy.

- Low Self-Esteem: Frequent feelings of inadequacy or guilt.

- Sleep Issues: Trouble sleeping or sleeping too much.

- Appetite Changes: Changes in appetite or weight.

- Difficulty Concentrating: Trouble focusing or making decisions.

Living with PDD can feel like a never-ending grey day. You might find it hard to enjoy your favorite things or muster the energy to get through daily tasks. But even in the midst of this, there are ways to find moments of brightness and support.


So let’s chat a bit about how to find support!

If you or someone you know is dealing with PDD, reaching out for help is crucial. Here are some tips:

1. Talk to a Professional:

- A mental health professional can be a great ally. Therapy, especially cognitive-behavioral therapy (CBT), can help you manage PDD. As a CBT therapist, I worked with a lot of clients who met the criteria for PDD. Many of them made tremendous progress, which was always so wonderful to witness.

2. Consider Medication:

- Antidepressants might be helpful for some people. A healthcare provider can help you figure out if this is a good option for you.

3. Build a Support Network:

- Lean on friends and family. Let them know what you’re going through so they can support you.

4. Self-Care Matters:

- Simple self-care routines like regular exercise, healthy eating, and good sleep hygiene can make a big difference.


Remember, managing PDD is about taking small steps each day. Celebrate the little victories, like getting out of bed on a tough morning or enjoying a good moment with a friend. Every step counts.



With this in mind, let’s jump into this week’s Therapist Mama Bear tip!


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