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Depression

Is it Dysthymia or Just a Pessimistic Outlook?

Answered by Jennifer Liles, MSW, LCSW

Question

How can you tell the difference between dysthmia and just being a person who is a little bit pessimistic about the world? I am asking about my wife. She is not what you would call a happy person but she is sometimes capable of real happiness and joy.

I struggled with answering this question for a moment, largely because my initial response was "does it matter?"  If your wife is less happy than she could be, or she has fallen into thought processes that limit her happiness, it doesn't really matter whether it's biological or learned (which is the real difference we're discussing here).

Depression and dysthymia both react very well to cognitive behavioral therapy, as does simple pessimistic outlook. "Cognitive behavioral therapy" is simply a fancy way of saying "changing how you think about your life". This doesn't always or necessarily  mean "looking on the bright side", but it does mean learning a whole set of new skills for how to process information and how to cope with setbacks. 

All of us are capable of deep happiness and joy, even those with serious major depression. If your wife is wanting to change her life and improve her mood, she can do so, whether she chooses to pursue self help, individual therapy, group therapy, some sort of spiritual counseling, or some other support. 

About the Expert

Jennifer Liles

MSW, LCSW

Independence, United States of America

Specialties

Gay Lesbian Issues, Anxiety or Fears, Child or Adolescent Issues, Trauma and PTSD, Mood Disorders, Personality Disorders, Domestic Abuse or Domestic Violence, Chronic Pain or Illness, Women, Loss or Grief, Depression, Finding Your Purpose in Life

License

my_license #2008001719