IS FRACTURED ENJOYMENT IN THE DSM?

$Is fractured enjoyment in the DSM?$

Ask The Doctor

Dr. Leland Heller

Biological Unhappiness

$Is fractured enjoyment in the DSM?$

Question:
Please tell me about "Fractured Enjoyment." Is this actually a disorder in the DSM-IV-TR? Thanks!

Dr. Heller's Answer:
No it isn't. As I wrote in "Biological Unhappiness", it's not an official diagnosis, but it is clearly a real clinical entity. It's more a less a combination of dysthymic disorder and the research criteria for the unofficial diagnosis of "Depressive Personality Disorder." It was written about in "Listening to Prozac" by Dr. Peter Kramer.

It's apparently a genetic syndrome where the person exists between depression/dysthymia and normal. They tend to not understand why others find it easy to be happy and they don't. There's a great deal of rejection sensitivity and frequently negativism. The cartoon characters Eeyore and Charlie Brown describe the concept.

In the 1920's Dr. Emil Kraepelin described it as the "depressed personality." The term has never caught on. I became aware of the syndrome when Prozac became available as it's the only medication that seems to work for this genetic depression. People switched from other antidepressants to Prozac (fluoxetine) feel dramatically better in 3 days when they have this syndrome. There was a functional MRI study performed a number of years ago that showed the brains of people who got better with Prozac quickly were different than those who took a month to get better.

$Is fractured enjoyment in the DSM?$

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$Is fractured enjoyment in the DSM?$
"Biological Unhappiness"

"Open this book and it will open your mind. By combining proven medical procedure with hope and inspiration, Dr. Heller has made a significant difference in thousands of patients who had little hope for recovery. "Biological Unhappiness" contains critical information for those who have lost hope."

Zig Ziglar, motivational speaker, author, See You at the Top, Over the Top, Success for Dummies, Raising Positive kids in a Negative World.

$Is fractured enjoyment in the DSM?$ $Is fractured enjoyment in the DSM?$

Dr. Leland Heller
Dyslimbia Press, Inc.
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