There are a plethora of DSMIV substance abuse codes. It all depends upon the diagnosis. They are specific to the substance being abused, there is also one for polysubstance abuse when one substance does not qualify. Then there is also abuse versus dependence. So again, it all depends.
It means that it is the fourth edition of the DSM.
Dysthymia is a recurrent or lengthy depression that may last a lifetime. It is similar to major depressive disorder, but dysthymia is chronic, long-lasting, persistent, and mild.
Essentially, dysthymia is mild depression. Dysthymia is depression that is milder than an episode of clinical major depression. BUT while it is the milder it is much longer lasting and often goes undiagnosed. In fact, to diagnose dysthymia feelings of depression must occur in an individual, constantly and continuously, for at least a period of two years. An individual diagnosed with dysthymia usually truly cannot remember the last time they enjoyed themselves and felt happy. Dysthymia usually goes unnoticed and untreated because the patient's depression is so mild, and so enduring, that most people believe that it is simply that individual's personality to be depressed.
You can't.
In every way in the book!
6%
The Diagnostic and Statistical Manual of Mental Disorders, fourth edition, classifies it as a feeding and eating disorder of childhood.
Your dysthymia and muscle ache may not be associated, if so, I suggest you consult a neurologist. I have Focal Dystonia (writers cramp), one of four different types, no muscle aches, but none the less a neurologic disorder. Most M.S. patients experience muscle spasms intermittently, regardless of diagnosis, you may have a neurologic disorder associative to the aches and so called personality disorder???.
double depression
Dysthymia is a foreboding term for a relatively common, yet serious condition mostly known as chronic depression. Symptoms can vary greatly from one person to another, but can include sadness, fatigue, lack of enjoyment in favorite activities, withdrawal, insomnia, unusual aches & pains, and a change in weight. These are just some of the potential signs for depression.
Dysthymia