md_mde_2
Md Mde 2Field Label
Diagnostic criteria for major depressive episode at least five of the symptoms have been present during the same two-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. note: do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucination.
Choices / Calculations / Slider Labels
1, A.(1) Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: in children and adolescents, can be irritable mood.
2, A.(2) Markedly diminished interest or pleasure in all, or most all, activities most of the day nearly every day (as indicated by either subjective account or observation made by others).
3, A.(3) Significant weight loss when not dieting or weight gain (e.g., more than 5% of body weight in a month) or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
4, A.(4) Insomnia or hypersomnia nearly every day
5, A.(5) Psychomotor agitation or retardation nearly every day (observable by others, not nearly subjective feelings of restlessness or being slowed down)
6, A.(6) Fatigue or loss of energy nearly every day
7, A.(7) Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
8, A.(8) Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
9, A.(9) Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt o a specific plan for committing suicide
10, B. The symptoms do not meet criteria for a Mixed Episode.
11, C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
12, D. The symptoms are not due to the direct physiological effects of a substance (e.g., drugs of abuse, a medication) or a general medical condition (e.g., hypothyroidism).
13, D. 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.