As with major depression, it may involve more than one cause, such as: The exact cause of persistent depressive disorder is not known. has a Spanish language phone line at 88 (toll-free). The Suicide & Crisis Lifeline in the U.S. In the U.S., call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24 hours a day, seven days a week. or your local emergency number immediately. If you think you may hurt yourself or attempt suicide, call 911 in the U.S. This could be a friend or loved one, a teacher, a faith leader, or another person you trust. Or you can reach out to someone else who may be able to help guide you to treatment. Talk to your health care provider about your symptoms or seek help from a mental health professional. But if you have any symptoms of persistent depressive disorder, seek medical help. If these feelings have been going on for a long time, you may think they'll always be part of your life. In children, symptoms of persistent depressive disorder may include depressed mood and being irritable, which means easily becoming annoyed, impatient or angry. Feelings of guilt and worries over the past.Quickly becoming annoyed, impatient or angry.Problems getting things done well and on time.Trouble focusing clearly and trouble making decisions.Low self-esteem, self-criticism or feeling you're not capable.Symptoms of persistent depressive disorder can cause major problems in your life and may include: Also, major depression episodes may occur before or during persistent depressive disorder. But symptoms usually don't disappear for more than two months at a time. The intensity of symptoms can change over time. Persistent depressive disorder symptoms usually come and go over a period of years.
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