Patient with dysthymia don't have to experience trouble in daily life. So that people around them can't realize they are suffering on the inside. They get their work done while still acting like everything is normal. They become adept at maintaining a facade and say: “Everything is fine”
A person with dysthymia is like an iceberg. Just like we can only see the tip of an iceberg, we can only see the surface-level symptoms of dysthymia. Unfortunately, sometimes we can't even recognize these symptoms, as they may be hidden. People with dysthymia are good at concealing their inner problems and struggles.