CBT by Condition

Guide

CBT for Persistent Depressive Disorder (Dysthymia)

Educational content only. Consider combined approaches (therapy + medication) with a clinician. See our Medical Disclaimer.

Overview

Chronic low mood and pessimism reduce activity and reinforce negative beliefs. CBT targets activation, thinking styles, and meaningful routines.

Why CBT helps

  • Activation: schedule small, restorative activities daily.
  • Restructuring: update global negative beliefs with balanced alternatives.
  • Values routines: embed purpose and contact into weekly rhythms.

Journaling prompts

  1. One small activity I completed; mood before/after.
  2. Negative belief I tested and the balanced alternative.
  3. Weekly values actions planned/completed.

See How to Journal.

When to seek care

Persistent impairment or risk requires clinical evaluation; combined care may help.

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