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</html><description>Is characterized by a chronic course of at least 2 years&#x2019; duration (i.e., seldom without symptoms) with depressive mood and a range of other symptoms that may include feelings of inadequacy, loss of self-esteem, or self-deprecation; feelings of hopelessness or despair; feelings of guilt, brooding about past events, or self-pity; low energy and chronic tiredness; being less active or talkative than usual; poor concentration and indecisiveness; and inability to enjoy pleasurable activities. The severity of the depression does not meet the criteria for major depressive disorder.A chronically depressed or dysphoric mood that is present more than 50% of the time for at least 2 years in adults or as an irritable mood for 1 year for children or adolescents. Affected people describe themselves as being chronically sad and &#x201C;down in the dumps.&#x201D;</description></oembed>
