Download Discussing Treatment

Module 4
Discussing Treatment
Making Recommendations
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Module Description and Content Goals:
Given topics on depression and treatment explanation to patients; texts that are varied and of a specialized and medical
nature, which include information presented from dialogues and other sources (e.g. photographs, drawings, reference
text /research information), the participant will use English with 70 % accuracy to:
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Identify and pronounce correctly vocabulary related to depression and its treatment. (Vocabulary)
Identify and use gerunds.(Grammar)
Identify and use phrasal verbs and adjectives followed by prepositions. (Grammar, Speaking)
Listen for main ideas and details. (Listening)
Identify and use expressions to give advice. (Vocabulary, Speaking and Writing)
Identify and use the modal verbs of advisability. (Grammar, Speaking, Writing)
Make recommendations about lifestyle changes. (Speaking, Writing)
Identify lay terms that are used for some common medical terms. (Vocabulary)
Identify and describe various depression treatments. (Reading)
Identify dysthymia, its signs, symptoms and treatments. (Reading)
Module 4
STUDENT HANDOUT
H4:1
WORDS AND EXPRESSIONS TO KNOW:
A. The following words will be used in the dialogue you are about to hear. Read the words and make sure you
understand all of them.
antidepressants
treatment
pain killers
magic cure
urinary retention
chronic migraines
pain relievers
muscle spasms
tension headaches
attainable goals
drowsy
tremors
counselor
side effects
weird
confused
blurred vision
sacrifice
fulfilling life
B. The following expressions will be used in the dialogue you are about to hear. Read them and then do the exercise
that follows. After completing Exercise D, go back to B and write the meaning of the expressions in the chart.
Expressions:
To suffer from depression
We could start you off with some antidepressant
medication.
Pills that will lift you up a bit
I am not really good at (See D Grammar Note I and II)
I have a lot on my plate as it is.
To kill two birds with one stone
Your energy level will perk up.
To be aware of side effects
To watch out for side effects
It may take up to 4 weeks before the medicine will
kick in.
If things are not settling down and you are not feeling
your usual self within that time…
To be in a better mood
To give up smoking, wine (or some other bad habit)
I can’t remember off the top of my head.
Pick up literature on the way out
To get rid of headaches
You will start feeling better in no time.
Easier said than done.
To be dependent upon drugs
A happy camper
Meaning
C. Complete the sentences from the conversation you are about to hear using the words and
expressions above:
1. This medication does have some _______________
___________________ I want you ____________________
________. The pills will help you fall asleep, but they could leave you feeling ________________________ and confused in the
morning. You may also have ____________________ vision, dry mouth, _______________________ spasms and increased urinary
________________________.
2. I want you to know that it may take up to four weeks before the medicine ________________ ______ and your symptoms start
to improve.
3. I expect you to start feeling better sooner, but if things are not ______________________
____________ and you’re not
feeling your ________________ ___________ within that time, you should call the office and schedule another appointment.
4. Unfortunately, there is no ____________________ ______________ for this condition.
5. Will you be able to ________________ your wine _________ at night?
6. Hopefully, once you’re in a better ________________ and your sleep patterns improve, you will start feeling better in all aspects
of your life: your energy level will _________________
_______, you’ll be able to concentrate better, you will be more productive
and enjoy a happier, more fulfilling life again.
7. Based on what you‘re telling me and on the questionnaire I gave you, I think you’re _____________________ ____________
depression.
8. I am not really _____________
______ taking pills, doctor. I am very busy and have a lot on _______ ______________ as it is.
I won’t remember to take them.
9. We could _______________ you ______ with some antidepressant medication, you know, pills that will ______________ you
__________ a bit.
10. I think these are all the major side effects, at least the ones that I can remember ________
__________________ of my head.
11. I often take painkillers to ____________ ____________ _____ my headaches.
12. I like the second option a lot, and in combination with the pills, you will start feeling better ______ ________ _____________.
13. The counselor could help you deal with your feelings in a constructive way, and hopefully very soon you won’t be
________________________ ____________ the drugs. You will be a ___________________ ______________________ again,
the Ms. Sandler I’ve always known!
D. GRAMMAR NOTE I: Gerunds
A gerund is the –ing form of a verb. E.g. working, being, seeing
It can be used as a noun and, thus, as a subject or an object in a sentence.
E.g. I enjoy helping people. (object of the verb enjoy ) I like working at the hospital. (object of the verb
work)
Doing medical research can be really rewarding because it can help save people’s life. (subject)
I am interested in becoming a nurse. (object of a preposition in).
GRAMMAR NOTE II: to be good at
Gerunds or nouns are used after the preposition in the expression to be good at
to be good at + Gerund (verb+ing)
to be good at + Noun
E.g. I am not good at taking pills. I am good at Math. I am very good at taking care of the sick people.
Remember that at is the only preposition that can be used in this expression.
Write three things you are good at and three things you are not good at in the following chart. Then tell your partner
about your abilities.
Things I am good at
Things I am not good at
1.
1.
2.
2.
3.
3.
GRAMMAR NOTE III: Phrasal Verbs
Such expressions as to pick up, to give up and to kick in are called phrasal verbs. Phrasal verbs are frequently used in
informal, non-technical speech. Such words consist of a verb and a particle (a small word such as up, off, in, etc.) that
together have a special meaning. E.g. give up something means “abandon, quit”, put up with something or somebody
means “to tolerate, to accept a bad situation or person without complaining”.
Phrasal verbs can be separable and inseparable.
If a phrasal verb is inseparable, the particle has only one position in the sentence. It immediately follows the verb. E.g. I
am suffering from migraines.
Watch out for the side effects when you take antidepressants.
I don’t feel good today. I think I am coming down with cold.
Separable phrasal verbs can be separated by a noun or a pronoun. If a pronoun is used, it must separate the parts of
the verb (come between the verb and the particle). A noun can either follow the particle or come between the verb and
the particle. E.g.
I can’t give up this habit.
I can’t give this habit up.
I can’t give it up.
I can’t give up it. – INCORRECT.
You are about to hear a dialogue which has a lot of phrasal verbs. Pay attention to how these structures are used.
While listening to this conversation, pay attention to the phrasal verbs used in it. Write them here. The first one ha
been done for you.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Modules 4
STUDENT HANDOUT
H4:2
LISTENING:
A. Listening for Main Ideas.
Dr. Howell is explaining to Ms. Sandler her condition and treatment. Listen to their conversation and
answer the following questions:
1. What two treatment options does Dr. Howell suggest?
__________________________________________________________________________________________
__________________________________________________________________________________________
2. Why doesn’t Ms. Sandler like the first option?
__________________________________________________________________________________________
3. Why does the physician say that by taking Elavil they will kill two birds with one stone?
__________________________________________________________________________________________
__________________________________________________________________________________________
4. What side effects should Ms. Sandler watch out for taking Elavil?
__________________________________________________________________________________________
__________________________________________________________________________________________
5. Why does Dr. Howell encourage his client to be patient?
__________________________________________________________________________________________
6. Why won’t the second option be as easy as the first one?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
B.
Listen to the conversation again. Some of the words are missing. During each pause, fill in the blanks
with the words or phrases from the list.
fall asleep
suffer from
restless
magic cure
in no time
easier said than done
antidepressant
settling down
off the top of my head
pain relievers
fulfilling
lift you up
kicks in
chronic
stressors
spasms
good at
weird
tension
counselor
confused
on my plate
optimistic
pain killers
happy camper
increased
25mg
productive
give up
tremors
side effects
perk up
retention
sacrifice
be aware of
Dr. Howell: Well, Ms. Sandler, based on what you‘re telling me and based on the questionnaire I gave you, I think you’re
____________________
________ depression. There are a couple of options we can use here. We could start you
off with some ____________________________ pills, you know, pills that will ____________________________ a bit.
Ms. Sandler: I am not really ____________________ taking pills, doctor. I am very busy and have a lot ______________
as it is. I won’t remember to take them.
Dr. Howell: Well, you won’t have to take too many pills throughout the day. There will be only two tablets, ___________
each. You will take one in the morning and one at night – at breakfast and before you go to bed, so it shouldn’t be
difficult. You want to get better, right? These pills may actually make you less forgetful and may help you organize your
life. They will also help you ____________________________. So, in reality we’re killing two birds with one stone here.
Ms. Sandler: Twice a day is not that bad I guess. I think I can do that.
Dr. Howell: Good. Hopefully, once you’re in a better mood and your sleep patterns improve, you will start feeling better
in all aspects of your life: your energy level will ______________________, you’ll be able to concentrate better, you will
be more __________________________ and enjoy a happier, more ______________________ life again.
Ms. Sandler: What kind of pills are you talking about? Are there any _______________________ I should watch out for?
Dr. Howell: That’s an excellent question, Ms. Sandler. The medication is called Elavil. Yes, it does have some side effects
that I want you to ___________________________. The pills will help you fall asleep, but they could leave you feeling
drowsy and _____________________ in the morning. You may also have blurred vision, dry mouth, muscle __________
and ________________________ urinary retention.
Ms. Sandler: Muscle spasms and urinary retention? I am not sure I know what you are talking about.
Dr. Howell: Well, muscle spasms or ______________________ are when you have ________________________ muscle
movements in your eyes, tongue, jaw or neck, uncontrollable shaking, you know. Urinary ______________________ is
inability to empty your bladder completely. These are the most common side effects, but it doesn’t mean you will
develop all of them. I want you to call the office if you have any strange or __________________ symptoms.
Ms. Sandler: And how long would you like me to take this medication?
Dr. Howell: I want you to know that it may take up to 4 weeks before this medicine _____________________ and your
symptoms start to improve. I expect you to start feeling better sooner, but if things are not ________________________
and you are not feeling your usual self within that time, you should call the office and schedule another appointment.
Ms. Sandler: Four weeks is a long time. Well, I guess it took me a while to get so bad, it will take some time to get better
now.
Dr. Howell: Yes, Ms. Sandler. Unfortunately, there is no ____________________________ for this condition. You have
to be patient. I do believe you will see changes a lot sooner. Let’s be __________________________ here. Another
important thing I need to tell you about is alcohol. I know that you like to have a little wine before you go to bed, but I
am afraid you won’t be able to do it any longer. It can cause dangerous side effects when taken together with Elavil. Will
you be able to _________________ your wine ________________ at night?
Ms. Sandler: Well, I was only having a little wine at night because I thought it would help me sleep better. If the pill does
the job, I won’t need the wine. I don’t have to have it, so it’s not a ____________________________.
Dr. Howell: Great. That’s good to hear. I think these are all the major side effects, at least the ones that I can remember
_____________________________________… You can read about the rest if you pick up the literature from the nurse’s
station on the way out. The nurse will also give you some Elavil samples so you could start the treatment. That’s about
all I wanted to tell you about this drug. Do you have any questions?
Ms. Sandler: Yes, Dr. Howell. I often take ________________________________ to get rid of my headaches. Will it be
OK to take both of these pills together?
Dr. Howell: That’s another great question. I have one more wonderful thing about this drug to share. Elavil is known to
treat _____________________ migraines and ______________________ headaches, so you may not need to take any
________________________________ after all. Let’s see how you will do with this treatment.
Ms. Sandler: You’ve mentioned at the beginning that we have two options treating my condition. I know the first one,
but what’s the second option?
Dr. Howell: Yes, there is another way to treat your problem that I wanted to talk to you about. It won’t be as easy and
simple as taking a pill; it does require some work. However, I like the second option a lot, and in combination with the
medication, you will start feeling better ______________________________.
Ms. Sandler: How much work are you talking about?
Dr. Howell: There are a few things about your lifestyle we should address. You could really help yourself if you change
the way you think, eat and react to the _____________________________ in your life.
Ms. Sandler: If I could do that, I wouldn’t have gotten here in the first place.
Dr. Howell: I know … __________________________________________. How would you feel about seeing a
________________________________? He could help you deal with your feelings in a constructive way, and hopefully
very soon you won’t be dependent upon the drugs. You will be a _____________________________________ again,
the Ms. Sandler I’ve always known!
Compare your notes with a partner. Listen to the conversation again. During each pause, repeat the phrase or
sentence you just heard. Then read the dialogue with your partner using proper pronunciation and intonation.
Module 4
STUDENT HANDOUT
H4:3
SPEAKING and WRITING: Making Recommendations
A. Use the following expressions to give advice:
1. You should/You ought to + VERB
10. Have you thought about + GERUND/NOUN
2. You had better + VERB
11. How about + GERUND/NOUN
3. Try to + VERB
12. What about + GERUND/NOUN
4. I recommend you to + VERB
5. I advise you to + VERB
6. Maybe you could + VERB
7. Why don’t you + VERB
8. One thing you could do is + VERB
9. It might be a good idea to + VERB
B. Grammar Note: Modals of advisability SHOULD/OUGHT TO/HAD BETTER
SHOULD/OUGHT TO/HAD BETTER have basically the same meaning. They mean: “This is a good idea. This is a good
advice.”
Affirmative forms:
SHOULD + Verb (Notice: no “to”)
OUGHT TO + Verb
HAD BETTER +Verb
HAD BETTER usually implies a warning about possible bad consequences and it is usually contracted in speaking.
E.g. I don’t feel good today. I think I am coming down with something. – You’d better call in sick and stay home. (If
you don’t, you will get worse and infect the whole office).
Negative forms:
SHOULDN’T + Verb
HAD BETTER NOT + Verb
OUGHT TO is usually not used in the negative.
E.g. You shouldn’t make any major decisions until the depression is lifted.
You’d better not use sugar for coffee or tea if you have diabetes.
C. Ms. Sandler is going to see a counselor, Mr. Briggs. The following are the lifestyle changes the counselor is
going to recommend to the depressed patient:
1. Reduce stress by getting adequate sleep, rest and recreation.
2. Eat a well-balanced healthy diet that is low in fat, high in fiber and rich in vitamins and minerals.
3. Avoid being alone too much. Share your feelings with family members and friends.
4. Change your negative thinking to positive. For instance, use the word “stop” when your thinking is negative or
make a list of five positive things about yourself.
5. Take up a new hobby or engage in a new activity.
6. Try to get a regular physical exercise.
7.
Set goals that are attainable. List things that need to be done. Break large ones into smaller ones and set
priorities.
8. Be patient with yourself. Don’t expect to get well overnight.
9. Be kind to yourself. Respect who you are.
10. Increase social and spiritual support.
11. Postpone making any major life decisions until the depression is lifted.
D. Choose six most important recommendations and make sentences using the expressions of
advice. Expand each recommendation by explaining what you mean and providing examples. Try to use as
many expressions of advice as you can. Follow the example:
E.g. 1. You should avoid being alone so much. One thing you could do is telephone one friend or family member a
day to discuss how your day has been and other social things. How about going out for dinner with your son or your
friends rather than eating some fast food that you pick up on the way home from work?
2. In order not to be overwhelmed during the day, I advise you to list things that need to be done. Then you
could break them down into smaller ones and set the priorities.
1. ___________________________________________________________________________________________
__________________________________________________________________________________________
2. ___________________________________________________________________________________________
__________________________________________________________________________________________
3. ___________________________________________________________________________________________
___________________________________________________________________________________________
4. ___________________________________________________________________________________________
___________________________________________________________________________________________
5. ___________________________________________________________________________________________
___________________________________________________________________________________________
6. ___________________________________________________________________________________________
___________________________________________________________________________________________
E. Role-play the dialogue between Ms. Sandler and the counselor. Use the recommendations listed above. Use
the expressions of giving advice.
Module 4
STUDENT HANDOUT
H4:4
COMMUNICATION TIP: Most patients do not have medical knowledge. Explanations should be given in language the
patient will understand, avoiding medical jargon. Using lay terms – words familiar to people without medical knowledge
– can help patients understand explanations. Here is the list of common lay terms for conditions, medications and parts
of the body.
A.
Listen to these words and then repeat them.
Medical Term
hypertension
insomnia
antidepressants
diuretics
oral contraceptives
benign
malignant
myocardial infarction
cerebrovascular accident
fractured neck of femur
arrhythmia
dysarthria
dyslexia
dismenorrhea
dyspareunia
dyspepsia
dysphagia
dysphasia
dyspnea
dysthymia
dystrophy
dysuria
hyperglycemia
hypoglycemia
polydipsia
polyphagia
polyuria
umbilicus
patella
mandible
thorax
abdomen
nocturia
hematuria
hematemesis
angina
Lay Term
high blood pressure
trouble with sleeping
medication to improve your mood
water pills
birth control pills
not due to cancer or infection
due to cancer
heart attack
stroke
broken hip
palpitations; abnormal heart rhythm
slurred speech
difficulty in using and comprehending written language
difficult or painful monthly flow (menses or menstruation)
painful intercourse
difficulty in digestion, indigestion
difficulty swallowing
impairment of speech caused by a brain lesion
difficult or uncomfortable breathing
a less severe type of depression that involves long-term,
chronic symptoms that do not disable but keep an
individual from functioning well or feeling good.
faulty muscular development caused by lack of
nourishment
difficult or painful urination
conditions of excessive blood sugar in the blood
conditions of deficient blood sugar in the blood
excessive thirst
extreme hunger
frequent urination
belly button, navel
kneecap
jaw
chest
belly, tummy
excessive urination during night
presence of blood in the urine
vomiting of blood
chest pain
B. Match the medical terms with the ordinary English words. The first one is done for you.
1. Dyspnea
_____ a. stroke
2. Patella
_____ b. a less severe type of depression
3. Nocturia
_____ c. high blood pressure
4. Hypoglycemia
_____ d. tummy
5. Myocardial infraction
_____ e. jaw
6. Diuretics
_____
f. not due to cancer or infection
7. Polydipsia
_____
g. painful menses
8. Umbilicus
_____
h. excessive hunger
9. Dyspepsia
_____
i. kneecap
10. Benign
_____
j. heart attack
11. Polyphagia
_____
k. low blood sugar
12. Abdomen
_____
l. water pills
13. Dysmenorrhea
_____
m. excessive thirst
14. Cerebrovascular accident
_____
n. excessive urination at night
15. Dysthymia
_____
o. indigestion
16. Hypertension
_____
p. belly button
17. Mandible
_____
q. difficult breathing
Module 4
STUDENT HANDOUT
H4:5
READING: Read the text about various treatments available for depression and then answer the questions that follow.
Treatments for Depression
Depression's forms and symptoms vary from person to person, and so does its treatment. What works for one person
may not work for another. Clinical depression is highly treatable and more than 80 percent of people who are treated
show improvement.
Carl Purcell/Three Lion/Getty Images
Electroconvulsive therapy is often misunderstood.
This patient was treated at Hillside Mental Hospital circa 1955.
Effective and common treatments for major and chronic depression are antidepressant medications to relieve
symptoms and psychotherapy to learn effective coping methods, or a combination of the two.
Antidepressant medications help to normalize levels of mood-regulating chemicals in the brain, specifically
neurotransmitters called serotonin, norepinephrine and dopamine.
The newest types of antidepressants are selective serotonin reuptake inhibitors (SSRIs), known commercially as Prozac,
Paxil and Zoloft, among others. Also commonly prescribed are serotonin and norepinephrine reuptake inhibitors
(SNRIs), known to us as Effexor and Cymbalta. SSRIs and SNRIs generally have fewer side effects than the more
established tricyclics and monoamine oxidase inhibitors (MAOIs), which are known to have food and drug interactions.
One type of antidepressant may work better than another from person to person, and doctors encourage patients to try
different forms until the right one is found.
Antidepressants are taken regularly for at least four weeks (in some cases eight weeks) before improvement is noticed,
and it usually takes six to 12 months for complete therapeutic effect. In cases of severe or chronic depression, long-term
treatment may be needed.
Psychotherapy is typically used in conjunction with medication, although for mild cases of depression, it may be best
used solo. In psychotherapy, also known also as talk therapy, people speak with a mental health professional about
ways to deal with their depression and symptoms, thoughts of suicide and other problems. There are two main types of
psychotherapy: cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT). CBT teaches people new ways of
thinking and behaving, whereas IBT helps people understand and work on personal relationships that may be
contributing to their depression.
One of the most misunderstood therapies used to treat severe depression is Electroconvulsive Therapy (ECT). ECT is
used when medications and psychotherapy are not effective, usually in suicidal patients, patients who experience
treatment-resistant depression or patients who suffer from depression and mania. Formerly known as shock therapy,
ECT has improved since the 1940s and 1950s when stories of misuse and controversy were in the media. During
treatment, a patient is given a muscle relaxant and anesthesia. Electrodes are affixed at specific placements on the head
and are used to deliver electrical impulses of about 30 seconds, causing a seizure within the brain. ECT is usually given
three times per week for several sessions.
For people looking for more natural remedies, St. John's Wort and other alternatives such as acupuncture, herbal
remedies, biofeedback, massage and yoga have been gaining increased attention in the last several years. In recent
scientific studies, St. John's Wort proved effective for mild depression, but acted no better than a placebo when treating
major depression.
Exercise and Mental Health
We all know that exercise will help keep us healthy. It keeps
blood pressure low and diabetes and other diseases at bay. Did
you know that it can also help improve symptoms of depression
and other mood disorders?
By incorporating 30 minutes of physical activity into your day,
three to five days a week, you can improve your mood and
reduce anxiety. While it's not a cure, research suggests that
exercise raises levels of mood-enhancing neurotransmitters in
the brain, releases endorphins and reduces levels of the stress
hormone, cortisol.
Source: National Institute of Mental Health at http://health.howstuffworks.com/depression.htm ,Colenso, Maria. "How Depression Works." 12 May 2008.
1. Name the three mood-regulating chemicals in the brain.
__________________________________________________________________________________________________
2. Name the four types of antidepressants. Which ones have fewer side effects?

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
3. What is psychotherapy? Name the two types of psychotherapy.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
4. What is the difference between cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT)?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
5. When is Electroconvulsive Therapy used and why is it misunderstood?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
6. Why can exercise improve your mood and reduce anxiety?
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Photo compliments of Microsoft clipart
Module 4
STUDENT HANDOUT
H4:6
READING: Read the text about dysthymia, a milder form of depression, and answer the questions that follow.
Dysthymia
Dysthymia (the Greek roots of the word mean “bad state of mind” or “ill humor”) is a disorder with similar but longerlasting and milder symptoms than clinical depression. By the standard psychiatric definition, this disorder lasts for at
least two years, but is less disabling than major depression; for example, victims are usually able to go on working and
do not need to be hospitalized.
About three percent of the population will suffer from dysthymia at some time - a rate slightly lower than the rate of
major depression. Like major depression, dysthymia occurs twice as often in women as it does in men. It is also more
common among the poor and the unmarried. The symptoms usually appear in adolescence or young adulthood but in
some cases do not emerge until middle age.
The warning signs of dysthymia are: poor school/work performance; social withdrawal; shyness; irritable hostility
conflicts with family and friends; physiological abnormalities; sleep irregularities; parents with major depression.
At least three-quarters of people with dysthymia have some other psychiatric or medical disorder as well.
Dysthymia can be controlled by therapy and medications. Psychotherapy or cognitive therapy (also known as “talk
therapy”) is used to alter people’s self-defeating thoughts. Behavioral therapy may help people learn how to act in a
more “positive approach” to life and to communicate better with friends, family, and co-workers. Tricyclic
antidepressants, the standard treatment for major depression, may be prescribed to treat dysthymia.
In many cases, the symptoms are hard to recognize and classify, and the response to treatment is unpredictable. Most
people with dysthymia see only their family doctor, who may misdiagnose them, especially if the main complaints are
physical. Many people do not think of themselves as depressed, and are relieved to be told they have a treatable illness.
Unfortunately, mental health professionals are usually consulted only when major depression develops, although
dysthymia alone may lead to alcoholism or suicide. Even when it is recognized, dysthymia is difficult to treat. The longer
a depression lasts the slower the recovery.
Source: http://www.howstuffworks.com/framed.htm?parent=depression.htm&url=http://www.mentalhealthamerica.net/go/depression
1. What is dysthymia?
___________________________________________________________________________________________
___________________________________________________________________________________________
2. How common is it?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
3. What are the warning signs of dysthymia?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
4. What are the treatments available for dysthymia?
___________________________________________________________________________________________
___________________________________________________________________________________________
5. Why is dysthymia often misdiagnosed?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________