Criteria for Major
Depressive Episode
A. Five or more of the symptoms listed
below have to 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.
Note:
Do not include symptoms that are clearly due to a general medical conditions,
or mood-incongruent delusions or hallucinations.
(1) Depressed
mood most of the day, nearly every day, (e.g., appears tearful). Note: In
children and adolescents, can be irritable mood.
(2) Loss
of interest or pleasure in most activities most of the day, nearly every day
(3) Significant
weight loss when not dieting, weight gain or decrease or increase in appetite
nearly every day.
(4) Not
sleeping or sleeping more nearly every day.
(5) Fidgety
or restlessness or being slowed down.
(6) Fatigue
or loss of energy nearly every day.
(7) Feelings
of worthlessness, inappropriate guilt nearly every day.
(8) Loss
of ability to think or concentrate, or indecisiveness nearly every day.
(9) Recurrent
thoughts of death or suicidal ideation without a plan, or suicide attempt, or a specific plan for committing
suicide.
B. The symptoms do not meet criteria for a Mixed Episode
(depression and mania).
C. Symptoms cause clinically significant
distress or impairment in social, occupational, or other important areas of
functioning.
D. Symptoms are not due to physiological
effects of drug abuse or medication or a general medical condition.
E. Symptoms are not attributable to
bereavement.
Axis I
Mood Disorders
Criteria for Major
Depressive Disorder, Single Episode
To be diagnosed with having
a single episode of major depressive disorder you need to meet the following criteria.
A.
Presence of a single major depressive episode
according to the criteria
B.
The major depressive episode is not better
accounted for by schizoaffective disorder, schizophreniform disorder,
delusional disorder, or psychotic disorder not otherwise specified.
C.
There has never been a manic episode or mixed
episode, or hypomanic episode.
So this is interesting
because you can have a single episode of major depression and earn the title of
being called ‘disordered’. You may never have another episode but you have
still graduated and earned that title. Hardly seem fair but that’s psychiatry
for you. It is more acceptable (but still harsh) to be called disordered when
you have recurrent major depressive episodes. The criteria is the same for
major depressive disorder, recurrent episodes.
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