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Standing With You Through Persistent Depressive Disorder

You’re not alone. Our mental health experts are here to support you through your journey.

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Dr. Satish Ramaiah

Clinically Reviewed by : Dr. Satish Ramaiah

Executive Director, Psychiatry Services, Sukoon Health

What is Persistent Depressive Disorder ?

Persistent Depressive Disorder (PDD) comes under the category of depressive disorders. All of the depressive disorders have common features of depression, such as a sad, empty, or irritable mood, accompanied by an individual’s capacity to function. To understand what depressive disorders look like, it is important to understand the mechanisms behind them.

Our thoughts, feelings and behaviour are interconnected. Change or distortion in any one aspect can lead to changes in the other two. This cognitive triangle of thoughts, feelings, and behaviour creates either a negative or positive feedback loop. In depression, it often creates a negative feedback loop, starting with a distorted thinking pattern (e.g “I will fail again”), leading to feelings of hopelessness and sadness, and consequently influencing behaviours such as staying in bed, not talking, not socialising, and the vicious loop continues, making the person feel stuck. In disorders like depression or Persistent Depressive Disorder, this feedback loop is the cause behind the maintenance of the depression.

Aron Beck devised a cognitive model called Beck's depression Model to understand the content of those thoughts that may lead to depression. According to Beck, depression arises from negative or distorted thought patterns, divided into three types:
  • - Thought about Yourself – Individuals with depression interpret personal experience as evidence of their own worth, such as "I'm not enough.", or "I'm a failure"

  • - Thought about the World – They view their environment as unsupportive or hostile, such as "Everything is against me."

  • - Thought about the Future – They already see their future outcomes to be a failure and expect suffering, such as "It's never going to get better.

These three types of negative thoughts can interact with our feelings and behaviour, perpetuating the negative feedback loop and continuing the maintenance of the depressive state.

Signs of Persistent Depressive Disorder

Persistent Depressive Disorder (PDD) is often misunderstood and overlooked. Persistent Depressive Disorder often has an early onset (i.e in childhood, adolescence or early adulthood) and insidious development (i.e PDD develops slowly and gradually), leading to a chronic course. PDD develops over time due to a mix of genetics, environment, and temperamental factors. The patterns of PDD can feel deeply ingrained and sometimes not visible, but with the right professional support, recovery is possible.

Persistent Depressive Disorder symptoms can show up as:

Chronic Low Mood

A consistently low or sad mood lasting for years, even if not always severe.

Loss of Interest

Reduced enjoyment in activities that once felt fulfilling or engaging.

Fatigue and Low Energy

Feeling physically drained, sluggish, or lacking motivation throughout the day.

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What time shapes, time can also heal,
through patience, care, and understanding

How We Support Your PDD Treatment at Sukoon

Introducing A2R+ (Acute to Recovery Plus) Model of Recovery

At Sukoon, we've created a unique 3-phase model for residential psychiatric care. This structured, evidence-based approach ensures comprehensive treatment, a sustainable recovery and smooth reintegration of the resident back into the community.

How We Support Your PDD Treatment at Sukoon

Introducing A2R+ (Acute to Recovery Plus) Model of Recovery

At Sukoon, we've created a unique 3-phase model for residential psychiatric care. This structured, evidence-based approach ensures comprehensive treatment, a sustainable recovery and smooth reintegration of the resident back into the community.

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Stage 1 - Acute Phase

Addressing the immediate crisis

  • bullet-pointsUrgent symptom management & stabilisation.
  • bullet-pointsEnsuring resident safety and intensive support.
  • bullet-pointsSets the foundation for the next phases of Persistent Depressive Disorder treatment.
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Stage 2 - Stabilise Phase

Reducing symptoms and developing coping strategies

  • bullet-pointsFocus on self-awareness, emotional skills & interpersonal recovery
  • bullet-pointsSafe therapeutic relationships that support change
  • bullet-pointsDeveloping effective coping mechanisms
3

Stage 3 - Embed Phase

Preparing for long-term stability

  • bullet-pointsFocus on relapse-prevention and long-term well-being
  • bullet-pointsBuild strong support systems—family, community, and aftercare
  • bullet-pointsPrepares for a successful community transition
1

Stage 1 - Acute Phase

Addressing the immediate crisis

  • bullet-pointsUrgent symptom management & stabilisation.
  • bullet-pointsEnsuring resident safety and intensive support.
  • bullet-pointsSets the foundation for the next phases of Persistent Depressive Disorder treatment.
2

Stage 2 - Stabilise Phase

Reducing symptoms and developing coping strategies

  • bullet-pointsFocus on self-awareness, emotional skills & interpersonal recovery
  • bullet-pointsSafe therapeutic relationships that support change
  • bullet-pointsDeveloping effective coping mechanisms
3

Stage 3 - Embed Phase

Preparing for long-term stability

  • bullet-pointsFocus on relapse-prevention and long-term well-being
  • bullet-pointsBuild strong support systems—family, community, and aftercare
  • bullet-pointsPrepares for a successful community transition

What Makes A2R+ Unique?

Science-Backed Approach
Science-Backed Approach

Each phase is designed to address specific needs, is grounded in neuroscience and validated by scientific research.

Science-Backed Approach

Science-Backed Approach

Structured Recovery for Patients
Empowered Family Involvement
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Science-Backed Approach

Science-Backed Approach

Each phase is designed to address specific needs, is grounded in neuroscience and validated by scientific research.

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Meet Our Multidisciplinary Team

PDD requires nuanced care. Our team of mental health experts create treatment plans that support your long-term care.

Psychiatrists

Psychologists

Occupational therapists

Art Based Therapists

PSW

Clinical Advisory Board

Psychiatrists

Psychologists

Occupational therapists

Art Based Therapists

PSW

Clinical Advisory Board

doc_image_Dr. Niveditha Samala

Dr. Niveditha Samala

MBBS (2003), Diploma in Psychiatry Medicine (2006), MD Psychiatry (2023)
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experience

24 years

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Our Centers that treat Persistent Depressive Disorder (Dysthymia)

Each of our mental health facilities support your recovery with spaces that offer privacy, safety and unmatched comfort.

Stories of Hope

Hear from those who walked the path of recovery from Persistent Depressive Disorder.

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Ananya Verma

I’ve lived with Persistent Depressive Disorder for years and honestly thought nothing would help. At Sukoon, I finally felt understood. The therapists don’t just give advice; they actually listen and make you feel less alone.

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Frequently Asked Questions

What do Clinical Experts say about Sukoon Health

A testament to our holistic mental health treatments

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Green Oak Initiative

Dr. Sowmya Krishna

Consultant Psychiatrist

Inpatient Psychiatry in India is always equated to an asylum kind of care but I have seen Sukoon and met with the founders, and their vision seems to be very aligned to what a lot of our patients want and what our families want.

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We are here for you

Take the first step towards recovery today.

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SUKOON HEALTHCARE SERVICES PRIVATE LIMITED
(CIN: U74999DL2019PTC349582), 31, Okhla Phase III, Okhla Industrial Estate, New Delhi, Delhi, 110020

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