Joan does not have major depression. However, she does feel down quite a lot and feels miserable most of the time. Quite likely, Joan suffers from

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Chronic depressive disorder, also known as dysthymia, is characterized by a long-term (two years or more) depressed mood that is not as severe as major depressive disorder. Joan's symptoms of feeling down and miserable most of the time without the presence of major depression align with the characteristics of chronic depressive disorder.

Joan Does Not Have Major Depression