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Major
Depressive Episode Severity, Psychotic, Remission Specifiers
Criteria
for Severity/Psychotic/Remission Specifiers for current (or more recent) Major
Depressive Episode
Note:
Code in fifth digit. Can be applied
to the most recent Major Depressive Episode in Major Depressive Disorder and to
a Major Depressive Episode in Bipolar I or II Disorder only if it is the most
recent type of mood episode.
.x1-Mild:
Few, if any, symptoms in excess of
those required to make the diagnosis and symptoms result in only minor
impairment in occupational functioning or in usual social activities or
relationships with others.
.x2-Moderate:
Symptoms or
functional impairment between “mild” and “severe.”
.x3-Severe
Without Psychotic Features:
Several
symptoms in excess of those required to make the diagnosis, and symptoms
markedly interfere with occupational functioning or with usual social activities
or relationships with others.
.x4-Severe
With Psychotic Features:
Delusions or
hallucinations. If possible, specify whether the psychotic features are
mood-congruent or mood-incongruent:
Mood-Congruent Psychotic Features:
Delusions
or hallucinations whose content is entirely consistent with the typical
depressive themes of personal inadequacy, guilt, disease, death, nihilism, or
deserved punishment.
Mood-Incongruent Psychotic Features:
Delusions or hallucinations whose content does not involve typical depressive
themes of personal inadequacy, guilt disease, death, nihilism, or deserved
punishment. Included are such symptoms as persecutory delusions (not directly
related to depressive themes), thought insertion, thought broadcasting, and
delusions of control.
.x5-In
Partial Remission:
Symptoms of a
Major Depressive Episode are present but full criteria are not met, or there is
a period without any significant symptoms of a Major Depressive Episode lasting
less than 2 months following the end of the Major Depressive Episode. (If the
Major Depressive Episode was superimposed on Dysthymic Disorder, the diagnosis
of Dysthymic Disorder alone is given once the full criteria for a Major
Depressive Episode are no longer met.)
.x6-In Full
Remission:
During the past 2 months, no
significant signs or symptoms of the disturbance were present.
.x0-Unspecified.
Additional Major Depressive Disorder Diagnosis
Information
adapted from the
Diagnostic and Statistical Manual of Mental Disorders DSM-IV
Additional
Information and webpage by
Paul Susic
MA
Licensed Psychologist Ph.D. Candidate
(Health and Geriatric Psychologist)
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