When trying to make a diagnosis, we look for a constellation of symptoms that points to the underlying issue. There has never been a manic episode or a hypomanic episode The occurrence is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disordersР В РІР‚СњР вЂ™Р’В®.

The episode is not due to the effects of a substance or to a medical conditionР В РІР‚СњР вЂ™Р’В. Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioningР В РІР‚СњР вЂ™Р’В¬. 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.Р В РІР‚СњР вЂ™Р’В«. Diminished ability to think or concentrate, or indecisiveness, nearly every day.Р В РІР‚СњР вЂ™Р’В©. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day.Р В РІР‚СњР В Р С“. Fatigue or loss of energy nearly every day.Р В РІР‚СњР вЂ™Р’В§. Psychomotor agitation or retardation nearly every day.Р В РІР‚СњР вЂ™Р’В¦. Inability to sleep or oversleeping nearly every day.Р В РІР‚СњР СћРЎвЂ™. Significant weight loss when not dieting or weight gain.Р В РІР‚СњР вЂ™Р’В¤.

Markedly diminished interest or pleasure in all or almost all activities most of the day nearly every day.Р В РІР‚СњР В РІвЂљВ¬. This mood might be characterized by sadness, emptiness, or hopelessness.Р В РІР‚СњР РЋРЎвЂє. Depressed mood most of the day, almost every day, indicated by your own subjective report or by the report of others. ItР В Р вЂ Р В РІР‚С™Р Р†РІР‚С›РЎС›s not enough to experience just one of the symptoms from category A over the two week period you need to have at least five of them to qualify, and one of these five has to be either depressed mood or loss of interest or pleasure in activities.Р В РІР‚СњР В РІР‚С›. We will list the criteria from the DSM-5 below and then flesh them out with some commentary. To qualify for major depressive disorder you need to have been experiencing your symptoms almost every day for at least two weeks, and they are more intense than the normal fluctuations in mood that all of us experience in our daily lives. We throw the word Р В Р вЂ Р В РІР‚С™Р вЂ™Р’ВdepressionР В Р вЂ Р В РІР‚С™Р Р†РІР‚С›РЎС› around a lot, to the point where for some of us a bad day is grounds for saying Р В Р вЂ Р В РІР‚С™Р РЋРЎв„ўIР В Р вЂ Р В РІР‚С™Р Р†РІР‚С›РЎС›m depressed.Р В Р вЂ Р В РІР‚С™Р РЋРЎС™ One of my professors in graduate school used to differentiate the real deal from the melodramatic using the comparison of beverages, where one was Р В Р вЂ Р В РІР‚С™Р вЂ™Р’ВdepressionР В Р вЂ Р В РІР‚С™Р Р†РІР‚С›РЎС› and the other was Р В Р вЂ Р В РІР‚С™Р вЂ™Р’Вdepression lightР В Р вЂ Р В РІР‚С™Р Р†РІР‚С›РЎС›.

Delusional disorder dsm 5