Term
| Major Depressive Episode A |
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Definition
| Five or more of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure |
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Term
| Major Depressive Episode A1 and A2 |
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Definition
1) Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g. feels sad or empty) or observation made by others (appears tearful) Note: children can be irritable
2) Markedly diminished interest or pleasure in all or almost all, activities most of the day nearly every day (by subjective account or observation made by others) |
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Term
| Major Depressive Episode A3-5 |
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Definition
A3) Significant weight loss when not dieting or weight gain (e.g. a change of more than 5% body weight in a month), or decrease or increase in appetite nearly every day. Note: In children consider failure to make expected weight gains
A4) Insomnia or hypersomnia nearly every day
A5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down) |
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Term
| Major Depressive Episode A6-9 |
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Definition
A6) Fatigue or loss of energy nearly every day
A7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
A8) Diminished ability to think or concentrate or indecisiveness nearly every day (either by subjective account or as observed by others)
A9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide |
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Term
| Major Depressive Episode B-E |
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Definition
B) Symptoms do not meet criteria for a mixed episode
C) Symptoms cause clinically significant distress or impairment...
D) Symptoms not due to substance or GMC
E) Symptoms not better accounted for by bereavement i.e. after the loss of a loved one the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms or psychomotor agitation. |
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Term
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Definition
A) A distinct period of abnormally and persistently elevated, expansive or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary).
B) During the period of mood disturbance, three or more of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree: |
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Term
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Definition
B1) Inflated self-esteem or grandiosity
B2) Decreased need for sleep (e.g. feels rested after only 3 hours of sleep)
B3) More talkative than usual or pressure to keep talking
B4) Flight of ideas or subjective experience that thoughts are racing |
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Term
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Definition
5) Distractibility (i.e. attention too easily drawn to unimportant or irrelevant external stimuli)
6) Increase in goal-directed activity (either socially, at work or school, or sexually or psychomotor agitation)
7) Excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g. engaging in unrestrained buying sprees, sexual indiscretions or foolish business investments) |
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Term
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Definition
C) Symptoms do not meet criteria for a mixed episode
D) Mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others or to necessitate hospitalization to prevent harm to self or others or there are psychotic features
E) Symptoms are not due to effects of a substance, GMC... |
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Term
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Definition
A) Criteria are met for both a manic and major depressive episode (except for duration) nearly every day during at least a 1 week period
B) Mood disturbance is sufficiently severe to cause marked impairment...
C) Symptoms not due to direct effects of a substance or GMC...
Note: Mixed episode clearly caused by somatic antidepressant treatment (meds, ECT, light) should not count toward dx of Bipolar I |
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Term
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Definition
A) A distinct period of persistently elevated, expansive, or irritable mood, lasting throughout at least 4 days, that is clearly different from the usual nondepressed mood.
B) During the period of mood disturbance three ore more of the following symptoms have persisted (four if the mood is only irritable) and have been present to a significant degree: |
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Term
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Definition
| The same as for manic episode. |
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Term
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Definition
C) The episode is associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic.
D) The disturbance in mood and the change in functioning are observable by others. |
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Term
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Definition
E) The episode is not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization, and there are no psychotic features.
F) The symptoms are not due to the direct physiological effects of a drug a med or GMC. |
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Term
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Definition
Depressed mood for most of the day, for more days than not, as indicated either by subjective account or observation by others, 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
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Definition
Presence while depressed of two 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
5) feelings of hopelessness |
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Term
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Definition
| During the 2-year period (1 year for children or adolescents) of the disturbance, the person has never been without the symptoms in Criterion A and B for more than 2 months at a time. |
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Term
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Definition
No Major depressive episode has been present during the first 2 years of the disturbance (1 yr for children) i.e.
the disturbance is not better accounted for by chronic MDD or MDD in partial remission.
Note: There may have been a previous Major Depressive Episode provided there was a full remission(no significant signs/symptoms for 2 months) before development of the dysthymic disorder. In addition after the initial 2 years (1yr children) of dysthymic disorder there may be superimposed episodes of major depressive disorder in which case both diagnoses may be given when the criteria are bet for a MDE |
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Term
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Definition
E) There has never been a manic, mixed or hypomanic episode and criteria have never been met for cyclothymic disorder.
F) The disturbance does not occur exclusively during the course of a chronic psychotic disorder such as schizophrenia or delusional disorder
G)Symptoms not due to substance/GMC
H) The symptoms cause clinically significant distress or impairment in social, occupational or other areas of functioning. |
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Term
| NOS-Premenstrual Dysphoric Disorder |
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Definition
| In most menstrual cycles during the past year depressive symptoms regularly occurred during the last week of the luteal phase (and remitted within a few days of the onset of menses). These symptoms must be severe enough to markedly interfere with work, school or usual activities and be entirely absent for a least 1 week postmenses. |
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Term
| NOS-Minor Depressive Disorder |
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Definition
| Episodes of at least 2 weeks of depressive symptoms but with fewer than the five symptoms required for major depressive disorder. |
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Term
| NOS-Recurrent brief depressive disorder |
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Definition
| Depressive episodes lasting from 2 days up to 2 weeks, occurring at least once a month for 12 months (not associated with the menstural cycle) |
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Term
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Definition
| A. For at least 2 years, the presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a Major Depressive Episode. Note: In children durtion must be at least 1 year. |
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Term
| Cyclothymic Disorder B, C |
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Definition
B) During the above 2-year period, the person has not been without the symptoms in Criterion A for more than 2 months at a time.
C) No Major Depressive Episode, Manic Episode, or Mixed episode has been present for the first 2 years of the disturbance |
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Term
| Cyclothymic Disorder D, E, F |
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Definition
D) Symptoms in criterion A are not better accounted for by schizoaffective disorder, are not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or psychotic disorder NOS.
E) The symptoms are not due to the direct effects of a substance of GMC
F) Symptoms cause clinically significant distress or impairment in social, occupational... |
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