Dysthymia: Associated Costs, Treatment and Change Process

This study examines the costs of care, treatment options, and the process of change in people with persistent depressive disorder (also called dysthymia) — a chronic, lower-grade form of depression that lasts for years and is often under-treated. **You may be eligible if...** - You have a diagnosis of persistent depressive disorder, dysthymia, or recurrent depression (as defined by DSM-5 or ICD-10) - You have had unsuccessful previous treatment attempts - You live within a reasonable driving distance of the treatment facility **You may NOT be eligible if...** - You currently have thoughts of suicide - You have active psychosis - You have significant emotional instability or strong paranoid traits - You have severe ongoing substance abuse problems Talk to your doctor to see if this trial is right for you.