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Depressed mood most of the day, more days than not, for at least 2 years B. Presence, while depressed, of 2 (or more) of the following: 1. Poor appetite or overeating 2. Insomnia or hypersomnia 3. Low energy or fatigue 4. Low selfesteem 5. Poor concentration or difficulty making decisions 6. Feelings of hopelessness C. During the 2year period, the person has never been without the symptoms for more than 2 months at a time Dr. Juno Dysthymia (con’td) D. Not better accounted for by Major Depressive Disorder E. There has never been a Manic, Mixed, or Hypomanic episode F. Not better accounted for by another disorder G. Not due to a GMC or substance H. Symptoms cause clinically significant distress or impairment in functioning Dr. Juno Major Depression vs. Dysthymia Recurrent Major Depressive Episodes Dysthymia Dr. Juno Myths and Facts about Suicide Myth: You have to be crazy even to think about suicide. Fact: Most people have thought of suicide from time to time. Dr. Juno Myths and Facts (cont’d) Myth: Once a person has made a serious suicide attempt, that person is unlikely to ma