Case Study: Living with Persistent Depressive Disorder (PDD)
Case Study, Persistent Depressive Disorder Nov 11, 2023

Meet Carrie and Grace: A Journey Through the Challenges of Persistent Depressive Disorder


Grace, a bright and talented young woman, grew up facing the hidden battle of Persistent Depressive Disorder (PDD). As a child, she displayed exceptional intellectual abilities and creativity. But her struggles with undiagnosed depression began to surface during her teenage years. Grace faced various school difficulties, significantly impacting her academic performance and emotional well-being.

Difficulties Faced in School:

During her early years in school, Grace’s teachers noticed her declining enthusiasm for learning and participation in class activities. She often struggled to concentrate, leading to a decline in her grades despite her evident intelligence. Social interactions became increasingly challenging for her, and she withdrew from her peers, feeling overwhelmed by a sense of isolation. Grace’s parents, unaware of her underlying condition, attributed these changes to typical teenage mood swings, unaware of the deeper issue at hand.

Impact on Academic Performance:

Her academic difficulties became more pronounced as Grace progressed through middle and high school. She found it hard to complete assignments, often feeling paralyzed by hopelessness and low energy. Grace’s test scores suffered, and she started to miss classes frequently, unable to muster the motivation to attend. Her declining academic performance became a source of immense frustration and self-doubt, leading to a cycle of negative thoughts and emotions.

Late Diagnosis and Academic Setbacks:

It wasn’t until Grace’s late teens that her condition was diagnosed correctly as Persistent Depressive Disorder. By this time, she had already faced significant setbacks in her education. Due to her undiagnosed depression, Grace struggled to cope with the demands of college. Her inability to focus and engage in her studies led to academic probation, and eventually, she had to repeat a year in college. This experience dealt a severe blow to her self-esteem and confidence, exacerbating her depressive symptoms.

Family Support and Intervention:

Upon Grace’s diagnosis, her family rallied around her, seeking professional help and educational support. Grace started attending therapy sessions with a skilled psychologist, where she learned coping mechanisms and strategies to manage her symptoms. Her family actively participated in her therapy, gaining insights into her struggles and learning how to provide the necessary support. Grace’s therapist recommended accommodations in her educational setting, such as extended time for exams and counseling services, to help her navigate the challenges of academia.

Steps Taken to Manage PDD:

With the diagnosis and appropriate interventions in place, Grace began her journey toward recovery. Therapy sessions provided her with a safe space to express her feelings and fears, and medication prescribed by her healthcare provider helped stabilize her mood. With the understanding and support of her family, Grace slowly started rebuilding her academic confidence and personal identity.

The Road to Recovery:

While living with Persistent Depressive Disorder continues to pose challenges, Grace’s story is one of resilience and determination. With ongoing therapy, medication, and the unwavering support of her family, she has made significant progress. Grace’s academic performance has improved, and she has found new ways to cope with her condition, allowing her to engage more actively in her studies and social interactions.

In Conclusion:

Grace’s journey highlights the critical importance of early intervention and understanding in the face of mental health challenges. With the proper support, individuals like Grace can overcome the hurdles posed by Persistent Depressive Disorder, allowing them to rediscover their potential and lead fulfilling lives. Carrie’s dedication to her sister’s well-being showcases the profound impact that family support can have on the journey to recovery, offering hope to others facing similar struggles.

About author

Karuna Kaul is psycho socio clinical psychologist, who works with all age group people. Her profession motivates her to serve people who are facing behavioral issues. She has over 8 years of experience and has successfully established credibility in the areas of counselling and wellness. Assessment and behavioral analysis and training and coaching. She has been an active advocate of mental health awareness. And all her endeavors in the field are primarily focused on educating more and more people about Mental Health concerns and promoting Holistic Wellbeing. She has done master in clinical psychology PG Diploma in counselling and guidance and certified in drug addiction counselling Also she has done neuro medicine psychology from London University, Kent College of United Kingdom. With an experience of six years, she had worked with various organization which provides mental health services.