### Patient: I've been feeling really down lately, and I have no interest in sex anymore. I've also been feeling really anxious and nervous, and sometimes I experience depressive or even psychotic symptoms. What could be wrong with me?
### Doctor: Based on your symptoms, it sounds like you may be suffering from dysthymic disorder. This is a type of depression that can cause a loss of sex drive, as well as feelings of anxiety, nervousness, and even psychotic symptoms. We can work together to develop a treatment plan that will help you feel better.