284 Major Depressive Disorder (296.xx)
DSM-IV-TR criteria
296.2x Major Depressive Disorder, Single Episode
- A. Presence of a single Major Depressive Episode and a Unipolar disorder.
- B. The Major Depressive Episode is not better accounted for by Schizoaffective Disorder and is not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
- C. There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode. NOTE: This exclusion does not apply if all of the manic-like, mixed-like, or hypomanic-like episodes are substance or treatment induced or are due to the direct physiological effects of a general medical condition.
- It is important to maintain a healthy lifestyle to avoid major depressive disorder in the following: avoid drugs and alcohol, eat well balanced meals, get regular sleep and exercise, and seek supportive relationships. This might seem like simple tasks to obtain, but for many each one might be an obstacle.
- If the full criteria are currently met for a Major Depressive Episode, specify its current clinical status and/or features:
- Mild, Moderate, Severe Without Psychotic Features/Severe With Psychotic Features
- Chronic
- With Catatonic Features
- With Melancholic Features
- With Atypical Features
- With Postpartum Onset
- Beck’s Depression Scale Inventory or other screening tests for depression can be helpful in making the diagnosis. More information available at: Beck’s Depression Scale
- If the full criteria are not currently met for a Major Depressive Episode, specify the current clinical status of the Major Depressive Disorder or features of the most recent episode:
- In Partial Remission, In Full Remission
- Chronic
- With Catatonic Features
- With Melancholic Features
- With Atypical Features
- With Postpartum Onset
296.3x Major Depressive Disorder, Recurrent
- A. Presence of two or more Major Depressive Episodes
- NOTE: To be considered separate episodes, there must be an interval of at least 2 consecutive months in which criteria are not met for a Major Depressive Episode.
- B. The Major Depressive Episodes are not better accounted for by Schizoaffective Disorder and are not superimposed on Schizophrenia, Schizophreniform Disorder, Delusional Disorder, or Psychotic Disorder Not Otherwise Specified.
- C. There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode. NOTE: This exclusion does not apply if all of the manic-like, mixed-like, or hypomanic-like episodes are substance or treatment induced or are due to the direct physiological effects of a general medical condition.
- If the full criteria are currently met for a Major Depressive Episode, specify its current clinical status and/or features:
- Mild, Moderate, Severe Without Psychotic Features/Severe With Psychotic Features
- Chronic
- With Catatonic Features
- With Melancholic Features
- With Atypical Features
- With Postpartum Onset
- If the full criteria are not cu