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Mood Disorders >> Mood Episodes

image_thumb[10]DSM-IV-TR Criteria for Major Depressive Episode

  • A.  >5 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 (anhedonia) Note: 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 or observation made by others
    • markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day
    • significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day
    • insomnia or hypersomnia nearly every day
    • psychomotor agitation or retardation nearly every day
    • 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 sick)
    • diminished ability to think or concentrate, or indecisiveness, nearly every day
    • 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
  • B. the symptoms do not meet criteria for a Mixed Episode
  • C. the symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning
  • D. the symptoms are not due to the direct physiological effects of a substance or a GMC
  • E. the 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

Mnemonic

Criteria for Depression (>5): MSIGECAPS

M - Depressed Mood
S -  Increased/decreased Sleep
I -  Decreased Interest
G -  Guilt
E -  Decreased Energy
C -  Decreased Concentration
A -  Increased/decreased Appetite
P -  Psychomotor agitation/retardation
S -  Suicidal ideation

Mood Disorders >> Mood Episodes Mood Disorders >> Mood Episodes Reviewed by Radiology Madeeasy on April 11, 2011 Rating: 5
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