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DSM Critera AxI-Mood
Axis I Clinical Disorders MDD BP
| Question | Answer |
|---|---|
| Major Depressive Episode, Criteria A | Five (or more), during same 2-weeks, change from previous functioning; at least depressed mood or loss of pleasure and: weight loss/gain; insomnia/hypersomnia; motor agitation/retardation; fatigue; worthlessness/guilt; concentration; thoughts of death |
| Major Depressive Episode, Criteria B | The symptoms do not meet criteria for a Mixed Episode |
| Major Depressive Episode, Criteria C | Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning |
| Major Depressive Episode, Criteria D | Symptoms are not due to the effects of a substance or general medical condition |
| Major Depressive Episode, Criteria E | Rule out Bereavement, 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. |
| Major Depressive Disorder, Single Episode | Presence of single MDE; rule out psychotic disorders; never been Manic, Mixed, or Hypomanic episode |
| Major Depressive Disorder Specifiers | Mild, Moderate, Severe without psychotic features, Severe with psychotic features, Chronic, With Catatonic Features, With Melancholic Features, With Atypical Features, With Postpartum Onset, In Partial Remission, In Full Remission |
| Major Depressive Disorder, Recurrent | Presence of two or more MDE (with full remission between episodes); rule out psychotic disorders; never been Manic, Mixed, or Hypomanic episode |
| Major Depressive Disorder, Recurrent Specifiers | Mild; Moderate; Severe with/without psychotic features; Chronic; With Catatonic Features; With Melancholic Features; With Atypical Features; With Postpartum Onset; In Partial/ Full Remission; With/Without Interepisode Recovery; With Seasonal Pattern |
| Dysthymic Disorder Criterion A | Depressed mood for most of the day, for more day s than not, as indicated either by subjective account or observation by others, for at least 2 years. In children/adolescents can be irritable at least 1 year |
| Dysthymic Disorder Criterion B | Presence of two or more of the following: poor appetite or overeating; insomnia/hypersomnia; low energy/fatigue; low self-esteem; poor concentration, indecisiveness; hopelessness |
| Dysthymic Disorder Criterion C | The person has never been without the symptoms for more than 2 months at a time |
| Dysthymic Disorder Criterion D | No MDE during 1st 2 years or if MDE present, at least 2 months symptom free before developing DD. |
| Dysthymic Disorder Criterion E | Never been a Manic, Mixed, or Hypomanic episode, criteria never met for cyclothymic. |
| Dysthymic Disorder Criterion F | Does not occur EXCLUSIVELY during a chronic psychotic disorder |
| Dysthymic Disorder Criterion G | Symptoms not due to the effects of a substance or general medical condition |
| Dysthymic Disorder Criterion H | Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. |
| Dysthymic Disorder Specifiers | Early Onset (if before age 21); Late Onset (if 21 or older); With Atypical Features |
| In Partial Remission Specifier | Symptoms are present but full criteria are not met, or there is a period without any significant symptoms lasting less than 2 months following the end of a MDE, ME, or MxE |
| Chronic Specifier | Applied to the current most recent MDE in MDD or BPI or BPII, as long as it is the most recent type of episode. Full criteria have been met for MDE continuously for at least the past 2 years. |
| Catatonic Features Specifier | Can be applied to the current or most recent MDE, ME or MxE in MDD, BPI or BPII, characterized by 2 of the following: catalepsy or stupor; excessive motor activity; extreme negativism; posturing; echolalia or echopraxia. |
| Melancholic Features Specifier | Current/most recent MDE as long as it is the most recent episode; either loss of pleasure or lack of reactivity; 3 of depressed mood; depression worse in the morning; early morning awakening; motor retardation or agitation; anorexia or weight loss; guilt |
| Atypical Features Specifier | Applied to most recent MDE (2 weeks) or DD (2 years). Mood reactivity plus 2 of weight gain or increased appetite; hypersomnia; leaden paralysis; pattern of interpersonal rejection sensitivity that causes impairment. No Melancholic, no Catatonic. |
| Postpartum Onset Specifier | Most recent MDE, ME, MxE in MDD, BPI or BPII or to Brief Psychotic Disorder; Onset of episode within 4 weeks postpartum. |
| Longitudinal Specifiers | Recurrent MDD, BPI, BPII: With Full Interepisode Recovery: full remission between 2 most recent episodes; Without Full Interepisode Recovery: full remission is not attained between 2 most recent episodes. |
| Seasonal Pattern Specifier | Pattern of MDE in BPI, BPII, and MDD, Recurrent: Regular onset and remission at certain times of year, not related to seasonal stressors. 2 years of 2 seasonal MDE, no nonseasonal. Seasonal MDE outnumber nonseasonal over lifetime. |
| Rapid-Cycle Specifier | Applied to BPI or BPII: At least four episodes of a mood disturbance in the previous 12 months that meet criteria for MDE, ME, MxE, or HE. Separated either by partial or full remission for at least 2 months or a switch to opposite polarity. |
| Manic Episode Criterion A | A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week, or any duration if hospitalization is involved. |
| Manic Episode Criterion B | 3 the following: inflated self-esteem/grandiosity; decreased need for sleep; pressured speech; flight of ideas; distractibility; increase in goal-oriented behavior/psychomotor agitation; excessive involvement in pleasurable activities despite consequences |
| Manic Episode Criterion C | Symptoms do not meet criteria for mixed episode |
| Manic Episode Criterion D | The 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 psychotic features (ME) |
| Manic Episode Criterion E | Symptoms are not due to the effects of a substance or GMC (ME) |
| Mixed Episode Criterion A | Criteria are met for both a ME and a MDE nearly everyday during at least a 1-week period |
| Mixed Episode Criterion B | The 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 psychotic features |
| Mixed Episode Criterion C | Symptoms not due to effects of a substance or GMC |
| Hypomanic Episode Criterion 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 |
| Hypomanic Episode Criterion B | 3 (4 if mood irritable): inflated self-esteem/grandiosity; decreased need for sleep; pressured speech; flight of ideas; distractibility; increase in goal-oriented behavior/motor agitation; excessive involvement in pleasurable acts despite consequences |
| Hypomanic Episode Criterion C | Episode associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic |
| Hypomanic Episode Criterion D | Disturbance in mood and change in functioning observable by others |
| Hypomanic Episode Criterion E | Episode not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization and there are no psychotic features |
| Hypomanic Episode Criterion F | Not due to effects of substance or GMC (HE) |
| Bipolar I, Single Manic Episode | Presence of only one ME and no MDD; Rule out psychotic disorders; Specify if Mixed. |
| Bipolar I, Most Recent Episode Hypomanic | Currently in HE; previously been at least 1 ME or MxE; Significant impairment; Rule out psychotic disorders. |
| Bipolar I, Most Recent Episode Manic | Currently or most recently in ME; there have been at least one MDE, ME, or MxE; Rule out psychotic disorders |
| Bipolar I, Most Recent Episode Mixed | Currently or most recently in a MxE; there has been at least one MDE, ME, or MxE; rule out psychotic disorders. |
| Bipolar I, Most Recent Episode Depressed | Currently or most recently in a MDE; there has previously been at least one ME or MxE; rule out psychotic disorders |
| Bipolar II | Presence or history of one or more MDEs; presence or history of aat least one HE; never been a ME or MxE; rule out psychotic disorders. Specify if Hypomanic or Depressed for current or most recent episode. |
| Cyclothymic Criterion A | At least 2 years, presence of numerous periods with hypomanic symptoms and numerous periods with depressive symptoms that do not meet criteria for a MDE (1 year in children) |
| Cyclothymic Criterion B | Person has not been w/o symptoms for more than 2 months at a time |
| Cyclothymic Criterion C | No MDE, ME, or MxE present during the first 2 years |
| Cyclothymic Criterion D | Rule out psychotic disorders |
| Cyclothymic Criterion E | Not due to effects of substance or GMC (CD) |
| Cyclothymic Criterion F | Symptoms cause significant distress/impairment |
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turnfam3
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