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Coping Mechanisms for People with Chronic Depression (Dysthymia) Living with chronic depression, also known as dysthymia or Persistent Depressive Disorder (PDD), can be an ongoing battle. Unlike major depressive disorder (MDD), where episodes of depression may come and go, dysthymia involves long-lasting, low-grade symptoms that persist for two years or more. People with dysthymia may struggle with persistent sadness, low energy, and lack of motivation. These symptoms can affect every aspect of daily life, from personal relationships to work and social interactions. However, despite the enduring nature of dysthymia, there are coping mechanisms that can help manage the symptoms and improve quality of life. In this article, we will explore some of the most effective strategies for coping with chronic depression and taking proactive steps toward emotional well-being.