Janet has felt depressed for a long time, over 3 years now. Some of the time, her mood is not as severely affected, but she almost always has trouble sleeping and is not interested in food, socializing, sex, or work. Other times, she is overcome by her feelings of worthlessness and thoughts about suicide. Janet most likely has:

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Janet's symptoms suggest double depression, which is a combination of dysthymia (persistent depressive disorder) and major depressive episodes. She has a long-term depressive mood with periods of more severe depression.

Janet Has Felt Depressed for a Long Time, Over 3