Major Depressive Disorder

Question 1

A

Diagnostic Criteria for MDD

Answer 1

• 5 or more symptoms at least one is either (1) depressed mood or (2) loss of interest or pleasure during the same 2 week period and represent a change from previous functioning.
• Do not include symptoms that are clearly attributable to another medical condition

Question 2

The Symptoms of Diagnostic Criteria A

Memorized this, you have to list it all down when writing the Diagnostic Criteria A.

Answer 2

1. Experience sadness and hopelessness for most of the day nearly every day.(mood may or may not be noticeable to those around them like anger, withdrawn, or tearful.)
2. They no longer enjoy activities they used to find pleasurable
3. may experience a change in appetite (weight loss/gain)
4. may experience sleep disturbances (insomnia/excessive sleeping)
5. In some cases, may experience psychomotor agitation (pacing or handwringing) (Unintentional, repetitive movements)(observable by others)
6. Feeling of fatigue and exhaustion
7. Feeling of worthlessness or inappropriate guilt
8. Reduced concentration which make normal functioning difficult
9. Recurrent thoughts of deaths/suicidal ideation without a specific plan, or a suicide attempt or a specific plan to commit suicide.

Question 3

B

Diagnostic Criteria for MDD

Answer 3

Significant distress or impairment in social, occupational, or other important areas of functioning.

Question 4

C

Diagnostic Criteria for MDD

Answer 4

• Not attributable to the physiological effects of substance/medication.
• Criteria A-C represent MDE.

Question 5

D

Diagnostic Criteria for MDD
It will in exam.

Answer 5

• At least one major depressive episode is not better explained by schizoaffective disorder and is not superimposed on schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders.

Question 6

E

Diagnostic Criteria for MDD

Answer 6

• There has never been a manic or a hypomanic episodes.

Remember!
Must have at least ONE MDE WITHOUT MANIC and HYPOMANIC EPISODES!

Question 7

Characteristic of MDE

Answer 7

Persistent and not tied to specific thoughts or preoccupations

Pervasive unhappiness and misery

Self-critical or pessimistic rumination

Low self-esteem (feeling of worthlessness and self-loath)

Thought of deaths which is focus on ending one’s life because of feeling worthless, undeserving of life, unable to cope with pain of depression.

Question 8

Mild

Answer 8

The symptoms may not interfere significantly with a person’s daily activities, although they may still experience some distress.

Question 9

Moderate

Answer 9

The symptoms may interfere with a person’s ability to function normally, including difficulty with work, school, or social interactions.

Question 10

Severe

Answer 10

The symptoms can be debilitating and may even lead to hospitalization, with significant impairment in a person’s ability to function in all areas of life.