Both in DSM-IV and ICD-10 dysthymia refers to symptoms of mild depression which have persisted for at least 2 years. The symptoms are similar to those in Table..!., except for 'excessive guilt', 'psychomotor changes', and 'suicidal thoughts'. Symptoms fluctuate more than in major depression, and (in contrast with seasonal depression) they are 'typical' including insomnia, lack of appetite, or poor concentration. In ICD-10, but not in DSM-IV, the symptom of social withdrawal is included as a characteristic symptom of dysthymia. The category 'depressive neurosis' which appeared in earlier editions of the classification included a similar symptom referred to as introversion.(5)

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