MDD

Question 1

For each symptom

Answer 1

You must inquire about duration (how long)
and persistence (feel like that every day?)

Question 2

B) the symptoms cause…

Answer 2

The symptoms cause clinically significant distress or impairment in social occupational or other important areas of functioning

Question 3

C) exclude the diagnosis..

Answer 3

Exclude the diagnosis of the symptoms attributable to the direct psychological effects of a substance or other medical condition

Question 4

D) (delusions/hallucinations)

Answer 4

Exclude diagnosis if during the course of the illness the patient had delusions or hallucinations for at least two weeks in the absence of prominent mood symptoms

Question 5

E) exclude (manic)

Answer 5

Exclude the diagnosis if there has been a history of a manic or hypermanic episode

Question 6

Presence of MDE if…

Answer 6

5 or more of the criteria have been present during the same two week period
At least one of the symptoms is either
1) depressed mood or
2) loss of interest or pleasure

Question 7

1) Depressed….

Answer 7

Depressed mood most of the day, nearly every day
By either subject report or observation made by others

Question 8

2) markedly….

Answer 8

Markedly diminished interests or pleasure in all, or almost all activities most of the day, nearly every day indicated by either subjective account or observation

Question 9

3) significant….

Answer 9

Significant weight loss when not dieting or weight gain
EG a change of more than 5% of body weight in a month or a decrease or increase in appetite nearly every day

Question 10

4) insomnia…

Answer 10

Insomnia or hypersomnia nearly every day

Question 11

5) psychomotor…

Answer 11

Psychomotor agitation or retardation nearly every day, observed by others not merely subject feelings of restlessness and being slowed down

Question 12

6) fatigue…

Answer 12

Fatigue or loss of energy nearly every day

Question 13

7) feelings of….

Answer 13

Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day not merely self reproach or guilt about being sick

Question 14

8) diminished ability….

Answer 14

Diminished ability to think or concentrate or indecisiveness nearly every day, either subjective account or has observed by others

Question 15

9) recurrent thoughts…

Answer 15

Recurrent thoughts of death (not just fear of dying) recurrent suicidal ideation without a specific plan or a suicide attempt or a specific plan for committing suicide