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To confirm major depressive disorder as the most likely diagnosis, other potential diagnoses must be considered, including dysthymia, adjustment disorder with depressed mood, or bipolar disorder. Dysthymia is a chronic, milder mood disturbance in which a person reports a low mood almost daily over a span of at least two years.
The two main symptoms of a major depressive episode are a depressed mood and a loss of interest or pleasure. [3] From the list below, one bold symptom and four other symptoms must be presented for at least 2 weeks for a diagnosis of a major depressive episode. Weight loss or gain; Change in body activity (psychomotor changes) Change in sleep ...
Bipolar disorder, cyclothymia, disruptive mood dysregulation disorder, dysthymia, major depressive disorder, premenstrual dysphoric disorder, seasonal affective disorder: Causes: Family history, previous diagnosis of a mood disorder, trauma, stress or major life changes in the case of depression, physical illness or use of certain medications.
Similar to the DSM-III-R, the DSM-IV-TR was created to bridge the gap between the DSM-IV and the next major release, then named DSM-V (eventually titled DSM-5). [3] The DSM-IV-TR contains expanded descriptions of disorders. Wordings were clarified and errors were corrected. The categorizations and the diagnostic criteria were largely unchanged.
Dementia and amnestic disorder became major or mild neurocognitive disorder (major NCD, or mild NCD). [11] [36] DSM-5 has a new list of neurocognitive domains. [11] "New separate criteria are now presented" for major or mild NCD due to various conditions. [11] Substance/medication-induced NCD and unspecified NCD are new diagnoses. [11]
For example, a diagnosis of major depressive disorder, a common mental illness, had a poor reliability kappa statistic of 0.28, indicating that clinicians frequently disagreed on diagnosing this disorder in the same patients. The most reliable diagnosis was major neurocognitive disorder, with a kappa of 0.78. [102]
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