Pediatric Persistent Depressive Disorder (Dysthymia) Differential Diagnoses

Updated: Oct 14, 2016
  • Author: Jeffrey S Forrest, MD; Chief Editor: Caroly Pataki, MD  more...
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DDx

Diagnostic Considerations

Conditions to consider in the differential diagnosis of persistent depressive disorder (PDD) disorder in pediatric patients include the following:

  • Reactive attachment disorder

  • Sexual abuse

  • Chronic fatigue syndrome

  • Conduct disorder

  • Anorexia

  • Bulimia

  • Encopresis

  • Enuresis

  • Failure to thrive

  • Fibromyalgia

  • Growth failure

  • Hyperparathyroidism

  • Hypokalemia

  • Hyponatremia

  • Hypopituitarism

  • Hypothyroidism

  • Malnutrition

  • Mononucleosis

  • Epstein-Barr virus infection

  • Bipolar disorder

  • Oppositional defiant disorder [6]

  • Avoidant personality

  • Schizophrenia

  • Nightmares

  • Conversion disorder

  • Pain

  • Somatization

  • Mood disorder due to a general medical condition

  • Alcohol-induced mood disorder

  • Substance-induced mood disorder

  • Alcohol or substance use or abuse

  • Personality disorder

  • Schizoaffective disorder

  • Bereavement

  • Adjustment disorder with depressed mood

  • Adjustment disorder with mixed anxiety and depressed mood

  • Depressive disorder not otherwise specified

  • Seasonal affective disorder

  • Growth retardation

  • Mixed language disorder

  • Stuttering

  • Hypochondriasis

Differential Diagnoses