I have been diagnosed with dysthymia, and have dealt with it for most of my adult life. I have had the benefit of therapy and medication, both of which have made the condition tolerable and manageable. I also have some issues with anxiety, which may or may not be attributed to the dysthymia. My major takeaway from therapy is to understand that you will have down days, some of them major, and you just need to go with it. It is always there, and sometimes in a significant way, but the dark times don’t last. I have had some major depressive episodes thrown in, and having been taught how to cope, and being appropriately medicated has been a great help.