Rosh Psychiatry Board Practice Exam 2025 - Free Psychiatry Board Practice Questions and Study Guide

For a diagnosis of Persistent Depressive Disorder (Dysthymia), symptoms must persist for a significant duration. Specifically, in adults, the symptoms need to be present for at least two years. This chronic nature of the disorder differentiates it from Major Depressive Disorder, which may involve episodes of similar symptoms lasting shorter periods. For children and adolescents, the duration requirement is at least one year, reflecting the understanding that depressive symptoms can manifest differently and may require a shorter time frame to diagnose in younger populations.

This two-year persistence is critical in diagnosing Persistent Depressive Disorder because it emphasizes the ongoing nature of the symptoms, which can include low mood, loss of interest, and a variety of other depressive symptoms that affect daily functioning. By this definition, the diagnosis highlights the importance of understanding long-term patterns of depression rather than sporadic or short-term episodes, ensuring that individuals receive appropriate long-term management.