Depressive disorder

• Disruptive Mood Dysregulation Disorder

  • Recurrent temper outburst (verbally or behaviorally) that are grossly out of proportion
  • 3 or more times/week
  • Irritable or angry most of the day
  • 12 or more months, at least 2 settings
  • Onset should be after 6 yrs-18yrs
  • Do not occur exclusively during MDE
  • Bipolar = episodic, DMD = persistent
  • Diagnosis cannot be assigned to a child who has ever experienced full-duration hypomanic or manic episode (irritable or euphoric) or who has ever had a manic or hypomanic episode lasting more than 1 day
  • Presence of severe and frequently recurrent outburst and persistent disruption in mood between outburst
  • Severe in at least one setting and mild to moderate to second setting
• Major Depressive Disorder


  • At least 2 weeks of either anhedonia or depressed mood
  • "Other specified depressive disorder" can be made in addition to the diagnosis of psychotic disorder
  • In schizoaffective, delusions or hallucinations occur exclusively for 2 weeks without MDE
  • Seasonal, Catatonic, Melancholic
• Persistent Depressive Disorder (Dysthymia)

  • Depressed mood for at least 2 years
  • If full criteria for a MDE has been met at some point during the period of illness, a diagnosis of MDD would apply. Otherwise, a diagnosis of "other specified depressive disorder" or "unspecified depressive disorder" should be given
  • A separate diagnosis of PDD is not made if the symptom occur only during the course of the psychotic disorder
  • Double Depression: suffer from both MDE and PDD with fewer symptoms
• Premenstrual Dysphoric Disorder


  Majority of menstrual cycles, at least 5 symptoms must be present
• Seasonal Affective Disorder


  • Episodes must have occurred for at least 2 yrs with no evidence of nonseasonal MDE during that period of time
  • Cabin fever
• Integrated Grief


  Acute grief, the finality of death and its consequences are acknowledged and the individual adjusts to the loss
• Complicated Grief


  This reaction can develop without preexisting depressed state
• Bipolar disorder may simply be a more severe variant of mood disorders