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