Dysthymia Milder, more chronic form of depression. Self-critical and negativistic. Everyday functioning intact, but quality of life impaired. Bipolar Disorder Depression alternates with periods of mania. Manic phase characterized by grandiosity, elation, increased energy, and irritability.
Severity can be mild, moderate, or severe.
Psychotic symptoms may be present. Psychiatrist, psychologists, and clinical social workers are trained in the diagnosis and treatment of Depression. Review of alcohol and other drug use. Review of current medications. The clinician may refer a patient to his primary care physician or a specialist to rule out contributory physical illness.