Criteria
DSM-5-TR criteria: persistent depressive disorder[1]
The Diagnostic and statistical manual of mental disorders (DSM-5-TR), published by the American Psychiatric Association, provides diagnostic criteria for mental disorders; used to diagnose persistent depressive disorder.
A. Depressed mood for most of the day, for more days than not, as indicated by subjective account or observation by others, for at least 2 years.
B. Presence, while depressed, of 2 or more of the following:
Poor appetite or overeating
Insomnia or hypersomnia
Low energy or fatigue
Low self-esteem
Poor concentration or difficulty making decisions
Feelings of hopelessness.
C. During a 2-year period (1 year for children/adolescents) the individual has never been without the symptoms in criterion A and B for more than 2 months at a time.
D. Criteria for a major depressive disorder may be continuously present for 2 years.
E. There has never been a manic episode or a hypomanic episode.
F. Disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum or other psychotic disorder.
G. The symptoms are not attributable to physiological effects of a substance or another medical condition.
H. Symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify if:
With anxious distress
With atypical features
Specify if:
In partial remission
In full remission.
Specify if:
Early onset (before age of 21)
Late onset (after age of 21)
Specify if:
With pure dysthymic syndrome
With persistent major depressive episode
With intermittent major depressive episodes with current episode
With intermittent major depressive episodes, without current episode.
Specify if:
Mild, moderate, or severe.
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