Depressed mood, as observed by
or others.
Note: Children and adolescents may have an easily irritable mood. And the duration must be at least 1 year.
B. Presence of at least 2 of the following while depressed.
1. Decreased desire to eat or overeating.
2. insomnia or oversleeping
3. decrease in energy level or exhaustion.
4. decreased self-esteem
5.not being able to focus or having difficulty making decisions.
6. feelings of hopelessness.”
( American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), From the Diagnostic Criteria Book, trans, Köroğlu E, Hekimler Publication Association, Ankara, 2014)
It has been observed that Schema Therapy is more effective in the treatment of chronic depression, which we call dysthymia, as in personality disorders. Schema therapy system; It is quite an extension of the Cognitive Behavioral Therapy system, but also influenced by Psychodynamic and Gestalt therapy. By identifying the root schemas that cause chronic depression in therapy; cognitive, experiential and behavioral dimensions are studied in depth through the therapy relationship.
As for the causes of chronic depression; They are early maladaptive schemas that arise as a result of temperament structure, chaotic family history, unmet childhood needs, cognitive factors and interpersonal communication problems and deeply affect a person's life.
Note: For diagnosis in this process, the person must have;
* Never had mania or hypomania.
* These symptoms are a It should not have occurred in substance abuse. and causes a significant decrease in functionality in social life.
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