People with depression are at risk of suicide, especially if they have made attempts or threats in the past. Females are diagnosed with depression 1.5 to 3 times more than males (DSM-5). Onset is more common in adolescence, but can appear at any age. The incidence of Major Depressive disorder in 18 to 20 year olds is three times that of 60 year olds. Additional specifies include anxious distress, mixed features, melancholic, atypical features, mood-incongruent psychotic features, mood-congruent psychotic features, catatonia, and seasonal pattern. The risk of postpartum with psychotic features is increased for women with a history of depression, bipolar disorder or a family history of bipolar (DSM-5). Postpartum mood (major depressive or manic) occurs in 1 in 500 to 1 in 1000 deliveries.
/atypical-depression-actually-very-typical-1065182_final-5cec7e367c684af488781e2b4d9428ed.png "dsm 5 major depressive disorder")
Peripartum onset is specified if the onset to symptoms occurs during pregnancy or 4 weeks following delivery.
#Dsm 5 major depressive disorder full#
If repeated episodes occur, it is considered recurring and can be in partial or full remission. Major Depressive Disorder ranges from mild, moderate to severe depending on the intensity of symptoms and the extent of impaired functioning. Note: this exclusion does not apply if all of the manic-like or hypo manic-like episodes are substance –induced or are attributable to the physiological effects of another medical condition. There has never been a manic episode or a hypo manic episode.The occurrence of the major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders.The episode is not attributable to the physiological effects of a substance or to another medical condition.The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.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.Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others).Feeling of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick).Fatigue or loss of energy nearly every day.Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down).Insomnia or hypersonic nearly every day.( Note: in children, consider failure to make expected weight gain). A change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Significant weight loss when not dieting or weight gain (eg.Markedly diminished interest or pleasure in all, or almost all, activities most of the day (as indicated by either subjective account or observation).( NOTE: in children and adolescence, can be irritable mood). Depressed mood most of the day, nearly every day, as indicated by either subjective report (eg., feels sad, empty, hopeless) or observation made by others (eg., appears tearful).Feeling of worthless and excessive guilt.ĭiagnostic Criteria For Major Depressive Disorder.Troubles concentrating and indecisiveness.Difficulties sleeping or excessive sleepiness.Loss of interest or pleasure in activities.
In addition to a low or irritable mood a person may experience low energy, lack motivation, weight changes, sleep changes, negative thoughts, lack of focus and avoid activities. Children and adolescence may be more irritable than sad. This depressed feeling must occur daily for at least 2 weeks for a diagnosis to be given.
#Dsm 5 major depressive disorder manual#
Major Depressive Disorder is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, 5th Ed.) diagnosis assigned to individuals who feel down and/or have lost interest in activities they previously enjoyed.
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