Common elements include a general lack of enthusiasm. In real life stories, those with dysthymic disorder seem to have lost their spark. They don't show much interest in things around them. There's also a pattern of self - criticism. They often blame themselves for their situation. And the disorder seems to be insidious. It creeps into their lives slowly, and they may not realize they have it for a long time until it has already had a major impact on their relationships, work, and overall well - being.
One common element is a long - lasting low mood. People in these stories often feel sad or down for extended periods. Another is the impact on daily activities. For example, they may have trouble getting out of bed or doing basic chores. Also, there is often a negative effect on relationships. They might isolate themselves from friends and family.