Axis I Clinical Disorders MDD BP
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show | 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
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Major Depressive Episode, Criteria B | show 🗑
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Major Depressive Episode, Criteria C | show 🗑
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show | Symptoms are not due to the effects of a substance or general medical condition
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show | 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.
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Major Depressive Disorder, Single Episode | show 🗑
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Major Depressive Disorder Specifiers | show 🗑
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Major Depressive Disorder, Recurrent | show 🗑
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Major Depressive Disorder, Recurrent Specifiers | show 🗑
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show | 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
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Dysthymic Disorder Criterion B | show 🗑
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show | The person has never been without the symptoms for more than 2 months at a time
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show | No MDE during 1st 2 years or if MDE present, at least 2 months symptom free before developing DD.
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show | Never been a Manic, Mixed, or Hypomanic episode, criteria never met for cyclothymic.
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show | Does not occur EXCLUSIVELY during a chronic psychotic disorder
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show | Symptoms not due to the effects of a substance or general medical condition
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Dysthymic Disorder Criterion H | show 🗑
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Dysthymic Disorder Specifiers | show 🗑
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show | 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
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show | 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.
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show | 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.
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Melancholic Features Specifier | show 🗑
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show | 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.
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Postpartum Onset Specifier | show 🗑
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show | 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.
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show | 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.
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show | 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.
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show | A distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week, or any duration if hospitalization is involved.
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Manic Episode Criterion B | show 🗑
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show | Symptoms do not meet criteria for mixed episode
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Manic Episode Criterion D | show 🗑
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show | Symptoms are not due to the effects of a substance or GMC (ME)
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show | Criteria are met for both a ME and a MDE nearly everyday during at least a 1-week period
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Mixed Episode Criterion B | show 🗑
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show | Symptoms not due to effects of a substance or GMC
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Hypomanic Episode Criterion A | show 🗑
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show | 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
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show | Episode associated with an unequivocal change in functioning that is uncharacteristic of the person when not symptomatic
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show | Disturbance in mood and change in functioning observable by others
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show | Episode not severe enough to cause marked impairment in social or occupational functioning, or to necessitate hospitalization and there are no psychotic features
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Hypomanic Episode Criterion F | show 🗑
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Bipolar I, Single Manic Episode | show 🗑
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Bipolar I, Most Recent Episode Hypomanic | show 🗑
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show | Currently or most recently in ME; there have been at least one MDE, ME, or MxE; Rule out psychotic disorders
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show | Currently or most recently in a MxE; there has been at least one MDE, ME, or MxE; rule out psychotic disorders.
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show | Currently or most recently in a MDE; there has previously been at least one ME or MxE; rule out psychotic disorders
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Bipolar II | show 🗑
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Cyclothymic Criterion A | show 🗑
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show | Person has not been w/o symptoms for more than 2 months at a time
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Cyclothymic Criterion C | show 🗑
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Cyclothymic Criterion D | show 🗑
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Cyclothymic Criterion E | show 🗑
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show | Symptoms cause significant distress/impairment
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