Term
Major Depressive Disorder,
Single Episode |
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Definition
| 1 major depressive episode |
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Term
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Definition
never been manic, hypomanic or mixed
(unless substance or treatment induced or GMC) |
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Term
Specify (for current or most recent episode):
Severity/Psychotic/Remission Specifiers
Chronic
With Catatonic Features
With Melancholic Features
With Atypical Features
With Postpartum Onset |
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Definition
x1—Mild
.x2—Moderate
.x3--Severe Without Psychotic Features
.x4--Severe With Psychotic Features
Mood-Congruent Psychotic Features:
Mood-Incongruent Psychotic Features:
.x5--In Partial Remission: full criteria are not met, or there no symptoms but less than 2 months since last
.x6--In Full Remission: During the past 2 months, no significant signs or symptoms of the disturbance were present.
.x0--Unspecified. |
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Term
Major Depressive Disorder,
Recurrent |
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Definition
2 or more major depressive episodes
(separated by 2 months at least with no MDD full criteria) |
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Term
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Definition
never been manic, hypomanic or mixed
(unless substance or treatment induced or GMC) |
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Term
Specify (for current or most recent episode):
Severity/Psychotic/Remission Specifiers
Chronic
With Catatonic Features
With Melancholic Features
With Atypical Features
With Postpartum Onset |
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Definition
x1—Mild
.x2—Moderate
.x3--Severe Without Psychotic Features
.x4--Severe With Psychotic Features
Mood-Congruent Psychotic Features:
Mood-Incongruent Psychotic Features:
.x5--In Partial Remission: full criteria are not met, or there no symptoms but less than 2 months since last
.x6--In Full Remission: During the past 2 months, no significant signs or symptoms of the disturbance were present.
.x0--Unspecified. |
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Term
Criteria for Melancholic Features Specifier:
(1) loss of pleasure in all, or almost all, activities
(2) lack of reactivity to usually pleasurable stimuli (does not feel much better, even temporarily, when something good happens) |
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Definition
AND
3 (or more)
of the following:
(1) distinct quality of depressed mood (i.e., the depressed mood is experienced as distinctly different from the kind of feeling experienced after the death of a loved one)
(2) depression regularly worse in the morning
(3) early morning awakening (at least 2 hours before usual time of awakening)
(4) marked psychomotor retardation or agitation
(5) significant anorexia or weight loss
(6) excessive or inappropriate guilt |
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Term
Atypical Features Specifier
A. Mood reactivity (i.e., mood brightens in response to actual or potential positive events)
AND
2 (or more) of the following:
(1) significant weight gain or increase in appetite
(2) Hypersomnia
(3) leaden paralysis (i.e., heavy, leaden feelings in arms or legs)
(4) long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment |
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Definition
Specify: Longitudinal Course Specifiers
(With and Without Interepisode Recovery)
With Seasonal Pattern |
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Term
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Definition
A. Depressed mood for
most of the day,
for more days than not,
for at least 2 years.
Note: In children and adolescents, mood can be irritable and duration must be at least 1 year. |
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Term
B. 2(or more) of the following:
(1) poor appetite or overeating
(2) Insomnia or Hypersomnia
(3) low energy or fatigue
(4) low self-esteem
(5) poor concentration or difficulty making decisions
(6) feelings of hopelessness |
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Definition
notes: what's missing (from MDD) is
loss of interest, psychomotor agitation or retardation, low self-esteem instead of worthlessness /guilt, and recurrent thoughts of death/SI
also hopelessness in new in dysthymia |
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Term
also dythmia is "more days than not"
vs
MDD which is "nearly everyday" |
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Definition
C. During the 2-year period (1 year for children or adolescents)
the person has never been without the symptoms
for more than 2 months at a time. |
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Term
D. No MDE has been present during the first 2 years of the disturbance
(1 year for children and adolescents); |
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Definition
unless was a full remission
(no significant signs or symptoms
for 2 months)
before development of the Dysthymic Disorder |
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Term
after the initial 2 years
(1 year in children or adolescents)
of Dysthymic Disorder,
there may be superimposed episodes of Major Depressive Disorder,
(in which case both diagnoses may be given when the criteria are met) |
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Definition
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Term
never been manic, hypomanic or mixed
and
not cyclothymic |
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Definition
not another disorder
not due to substance or GMC
causes significant distress or impairmenets.
Specify if early onset or late onset
or with atypical features |
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Term
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Definition
Premenstrual dysphoric disorder
or like MDD but with less than 5 symtpoms
or under 2 weeks
postpsychotic depressive disorder of schizophrenia (during residual phase )
MDD superimposed on delusional disorder or a psychotic disorder
if ur unsure whether it;s primary or due to GMC or substance |
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