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Lifestyle and home remedies

By Mayo Clinic staff

Managing Depression

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Dysthymia generally isn't a disorder that you can treat on your own. But, in addition to professional treatment, you can take these steps:

  • Stick to your treatment plan. Don't skip therapy sessions or appointments, even if you don't feel like going. Don't skip your medications, even if you're feeling well. If you stop, symptoms may come back, and you could also experience withdrawal-like symptoms.
  • Learn about dysthymia. Education about your condition can empower you and motivate you to stick to your treatment plan. Encourage your family members or friends to learn about dysthymia to help them understand and be more supportive of you.
  • Pay attention to warning signs. Work with your doctor or therapist to learn what might trigger your dysthymia symptoms. Make a plan so that you know what to do if symptoms get worse or return. Contact your doctor or therapist if you notice any changes in symptoms or how you feel. Consider involving family members or friends in watching for warning signs.
  • Get active. Physical activity and exercise may reduce symptoms in depression-related conditions. Consider walking, jogging, swimming, gardening, or taking up another activity or exercise that you enjoy.
  • Avoid drugs and alcohol. It may seem like alcohol or drugs lessen depression-related symptoms, but in the long run they generally worsen them. Talk with your doctor or therapist if you need help with alcohol or drug abuse.
Alternative medicine Treatments and drugs
References
  1. Dysthymic disorder. In: Diagnostic and Statistical Manual of Mental Disorders DSM-IV-TR. 4th ed. Arlington, Va.: American Psychiatric Association; 2000. http://www.psychiatryonline.com. Accessed Oct. 23, 2012.
  2. Ebert MH, et al. Current Diagnosis & Treatment: Psychiatry. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2008. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=10. Accessed Oct. 24, 2012.
  3. Cuijpers P, et al. Psychotherapy for chronic major depression and dysthymia: A meta-analysis. Clinical Psychology Review. 2010;30:51.
  4. Understanding major depression. National Alliance on Mental Health. http://www.nami.org/Template.cfm?section=Search&Template=Search/SearchDisplay.cfm. Accessed Oct. 24, 2012.
  5. Depression and complementary health practices: What the science says. National Center for Complementary and Alternative Medicine. http://nccam.nih.gov/health/providers/digest/depression-science.htm. Accessed May 10, 2012.
  6. Depression. National Institute of Mental Health. http://www.nimh.nih.gov/health/publications/depression/complete-index.shtml. Accessed Oct. 23, 2012.
  7. Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression. Journal of Psychiatric Practice. 2012;18:233.
  8. Tanyi RA, et al. The effects of psychoneuroimmunology (PNI)-based lifestyle intervention in modifying the progression of depression in clinically depressed adults. International Journal of Psychiatry in Medicine. 2011;42:151.
  9. Cuijpers P, et al. Personalized treatment of adult depression: Medication, psychotherapy, or both? A systematic review. Depression and Anxiety. 2012;29:855.
  10. VonWolff A, et al. Selective serotonin reuptake inhibitors and tricyclic antidepressants in the acute treatment of chronic depression and dysthymia: A systemic review and meta-analysis. Journal of Affective Disorders. In press. Accessed Oct. 24. 2012.
  11. Hourani LL, et al. Influence of spirituality on depression, posttraumatic stress disorder, and suicidality in active duty military personnel. Depression Research and Treatment. 2012;2012:1.
  12. Wu J, et al. Acupuncture for depression: A review of clinical applications. Canadian Journal of Psychiatry. 2012;57:397.
  13. Chi J, et al. Tai chi and reduction of depressive symptoms for older adults: A meta-analysis of randomized trials. Geriatrics & Gerontology International. In press. Accessed Aug. 28, 2012.
  14. Chan MF, et al. The effectiveness of music listening in reducing depressive symptoms in adults: A systemic review. Complementary Therapies in Medicine. 2011;19:332.
  15. McCaffrey R, et al. Garden walking and art therapy for depression in older adults: A pilot study. Research in Gerontological Nursing. 2011;4:237.
  16. Carpenter DJ. St. John's wort and s-adenosyl methionine as "natural" alternatives to conventional antidepressants in the era of the suicidality boxed warning: What is the evidence for clinically relevant benefit? Alternative Medicine Review. 2011;16:17.
  17. Hall-Flavin DK (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 26, 2012 & Nov. 18, 2012.
  18. Kung S (expert opinion). Mayo Clinic, Rochester, Minn. Oct. 26, 2012.
DS01111 Dec. 20, 2012

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