Depressive Disorders: Premenstrual Dysphoric Disorder

Question 1

Premenstrual Dysphoric Disorder (Criteria Overview)

Answer 1

A. Episode onset and duration
B. Symptoms
C. Additional symptoms
D. Significant distress/impaired functioning
E. Not due to another disorder
F. Daily rating of symptoms for 2+ cycles
G. Not due to substance/med use or another medical condition

No specifiers

Question 2

Criterion A

Answer 2

A. 5+ symptoms during majority of menstrual cycles present during the week before onset of menses. Symptoms begin to improve within a few days upon onset of menses and become minimal/absent after menses

Question 3

Criterion B (4)

Answer 3

B. 1+ of the following symptoms:

1. Changes in mood (mood swings, suddenly sad or tearful, sensitivity, etc.)
2. Irritability, anger, or increased interpersonal conflict
3. Depressed mood, hopelessness, self-deprecating thoughts
4. Anxiety, tension, feeling on edge

Question 4

Criterion C (7)

Answer 4

C. 1+ of the following additional symptoms:

1. Loss of interest in usual activities
2. Difficulty concentrating
3. Lack of energy/easily fatigued
4. Changes in appetite, overeating, specific cravings
5. Hypersomnia/insomnia
6. Overwhelmed or out of control
7. Physical symptoms: breast tenderness/swelling, joint/muscle pain, bloating, weight gain

Question 5

Criterion D

Answer 5

D. Clinically significant distress or impaired functioning

Question 6

Criterion E

Answer 6

E. Not the result of another disorder/dx

Question 7

Criterion F

Answer 7

F. Criterion A must be confirmed by daily ratings during last two cycles

Question 8

Criterion G

Answer 8

G. Not due to substance/med use or another medical condition