Depressive Disorder: Recurrent-
Without Psychotic Features, Symptoms and DSM-IV Diagnosis
Disorder: Recurrent - Severe Without Psychotic Features, Symptoms and Diagnosis Overview:
Major Depressive Disorder, Recurrent, Severe
Without Psychotic Features, symptoms and diagnostic criteria follow below. While some of
these Major Depressive Disorder: Recurrent- Severe Without Psychotic Features, , symptoms may
be recognized by family, teachers, legal and medical professionals, and
others, only properly trained mental health professionals (psychologists,
psychiatrists, professional counselors etc.) can or should even attempt to make
a mental health diagnosis. Many additional factors are considered in addition to
the Major Depressive Disorder: Recurrent - Severe Without Psychotic Features, symptoms in
making proper diagnosis, including frequently medical evaluation and psychological testing
and consideration. The information below related to Major Depressive Disorder:
Recurrent - Severe Without Psychotic Features, symptoms and diagnostic criteria are for information purposes
only and should never replace the judgment and comprehensive assessment by a
trained mental health clinician.
criteria for 296.33 Major Depressive Disorder, Recurrent: Severe Without
Presence of two or more Major Depressive Episodes.
To be considered separate episodes,
there must be an interval of at least 2 consecutive months in which criteria are
not met for a Major Depressive Episode.
The Major Depressive Episodes are not better accounted for by Schizoaffective
Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder,
Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
There has never been a Manic
Episode, a Mixed Episode, or a Hypomanic Episode. Note: This
exclusion does not apply if all of the manic-like, mixed-like, or hypomanic-like
episodes are substance or treatment induced or are due to the direct
physiological effects of a general medical condition.
(for current or most recent episode):
Course Specifiers (With and without Interepisode Recovery) With Seasonal Pattern
Criteria for Severity/Psychotic/Remission Specifiers for
Current (or most recent ) Mixed Episode
Major Depressive Episode
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.
Do not include
symptoms that are clearly due to a general medical condition, or
mood-incongruent delusions or hallucinations.
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
(e.g., appears tearful). Note: In children and adolescents, can be
markedly diminished interest or pleasure in all, or almost all, activities most
of the day, nearly every day (as indicated by either subjective account or
observation made by others)
significant weight loss when not dieting or weight gain (e.g., a change of more
than 5% of body weight in a month), or decrease or increase in appetite nearly
every day. Note: In children, consider failure to make expected weight
Insomnia or hypersomnia nearly every day
Psychomotor agitation or retardation nearly every day (observable by others, not
merely subjective feelings of restlessness or being slowed down)
Fatigue or loss of energy nearly every day
Feelings of worthlessness or excessive or inappropriate guilt (which may be
delusional) nearly every day (not merely self-reproach or guilt about being
Diminished ability to think or concentrate, or indecisiveness, nearly every day
(either by subjective account or as observed by others)
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
symptoms do not meet criteria for a Mixed Episode.
symptoms cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning.
symptoms are not due to the direct physiological effects of a substance (e.g., a
drug of abuse, a medication) or a general medical condition (e.g.,
symptoms are 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 retardation.
Additional Major Depressive Disorder Diagnosis
adapted from the
Diagnostic and Statistical Manual of Mental Disorders DSM-IV
Information and webpage by
(Health and Geriatric Psychologist)
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