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Many times a stressful or overwhelming situation, like having a first baby ( Postpartum depression), will throw a dysthymic individual into a major depression. When a major depressive episode occurs on top of dysthymia, the condition is referred to as double depression.
The term dysthymia originally referred to a sub clinical psychotic condition. When translated, the term dysthymia would be rendered: "abnormal, or disordered feelings".
Classical dysthymia refers to "feeling" that something is a reality which is not a reality, for example "feeling" that they know what others are thinking - or "understanding" an underlying social dynamic which is not real. This thinking pattern would lead sufferers to imagine that they are "prophets" or "highly intuitive healers". Such people may imagine that they can "feel" underlying hostilities which do not exist.
These people often endure social estrangement because they continually inject disordered judgments, which are the result of their abnormal "feelings". These disordered feelings and the way that they are expressed within social settings are usually considered to be intensely strange. This definition of dysthymia used to cover a broad band of disorders, which may very likely result in antisocial behaviors.