Persistent depressive disorder (dysthymia)

Leafmaple
Community Member

Am 70.  When I was 20, I saw a psychiatrist at the university health service because of extreme shyness, particularly with girls.  He was so awful I never went back after the first time.  I had an academic career, successful, publications, awards, etc., but feel a failure.  I could be entertaining, spontaneous, informative, etc. talking to a hundred people, but in an ordinary social situation where I am not a lecturer, I freeze, can't talk, or when I do, it comes out so awkwardly that it falls flat.  It is as though I were two different people.  I only identify with the loser "me", not the successful "me".  I was good looking as a young man, looks never a problem.  Spent 3+ years with a psychiatrist in the 1990s (dysthymia was his diagnosis), learned a lot about why I react in certain ways, but could not change and ended up feeling even more of a failure.  I have almost no friends, avoid social situations whenever possible.  Am married with 4 adult children (great relationship with children), but no help.  No time to talk about marriage/sex, but also a problem all my life.   I have little faith in therapy, but I would like not to feel so lonely and useless (not suicidal, though).  I have notes the psychiatrist gave me, but they just confirm my inability to modify my behaviour patterns.  For example, I realize, as he said, that my self-image is largely the result of my conditioning by my mother, but it still seems, or rather feels like the "real me", even though I know that is its origin, so I still behave the same way.    I have read about CBT, but from what I read, it seems to me that you have to tell your self lies, deny what you know, or at least feel, to be true, and I couldn't do that.  I don't really have a good question, except that I would like to know if anyone knows if it is possible to find some kind of "cure" at my age, so that what time I have left (am fit and healthy, attend a gym) is not as miserable as these 70 years have been.

10 Replies 10

Leafmaple
Community Member

Hi BeeGee.  Thanks for your reply and for sharing your experiences with me.  I guess I am an introvert, in that I am usually quite shy, impossibly so in a group.  And I empathize with your feeling of a thing to run away when in a group situation.  Yet there are situations where I am very different.  It is great that you got diagnosed now when you are still relatively young; I think that really gives you a great chance of working through this and not playing the old tapes over and over in your head.  It is pretty clear to me that my behaviour in various situations is not just part of my nature, but it sounds like a great place to start for you, if you have a therapist to guide you.  Personally, I don't think I could handle group therapy sessions, as I said to Jill.  

Anyway, thank you for your thoughtful and friendly reply.  Lots of warmth in the people here and they are not shy about sharing it around.