Updated June 14, 2010
Major Depressive Disorder, Single Episode
A. Presence of a single Major Depressive Episode
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.
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/With Psychotic Features
Criteria for Severity .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.
Criteria for Severity .x4 With Psychotic Features: Delusions or hallucinations. If possible, specify whether the psychotic features are mood-congruent or mood-incongruent.
Mood-Congruent Psychotic Features: The content of all delusions and hallucinations is 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 are present with or without mood-congruent psychotic features.
Chronic (The group is proposing the elimination of this specifier. Please see the criteria for Chronic Depressive Disorder, formerly DSM-IV Dysthymia)
With Catatonic Features
With Melancholic Features
With Atypical Features
With Postpartum Onset (can be applied to the current or most recent Major Depressive, Manic, or Mixed Episode in Major Depressive Disorder, Bipolar I Disorder, or Bipolar II Disorder; or to Brief Psychotic Disorder). Onset of episode within 6 months postpartum. (Read more here.)
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:
With Mixed Features
In Partial Remission, In Full Remission
With Catatonic Features
With Melancholic Features
With Atypical Features
The Work Group is proposing several options for severity:
-PHQ-9 (see also PHQ-9 scoring)
-CGI
Severity of Illness Rating (applied to previous week)
Considering your total clinical experience with this particular population, how mentally ill
is the patient at this time?
0 = Not Assessed
1 = Normal, not at all ill
2 = Borderline mentally ill
3 = Mildly ill
4 = Moderately ill
5 = Markedly ill
6 = Severely ill
7 = Among the most extremely ill patients
Major Depressive Disorder, Single Episode
A. Presence of a single Major Depressive Episode
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.
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 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