CHAP 7

Diagnostic Criteria for Major Depressive Disorder

A. At least one major depressive episode

C- There has never been a manic episode or hypomanic episode

Diagnostic Criteria for Persistent Depressive Disorder (Dysthymia)

A. Depressed mood for most of the day

B. Presence, while depressed, of 2 or more of the following:

1. Poor appetite or overeating
2. Insomnia or hypersomnia
3. Low energy or fatigue
4. Low self-esteem
5. Poor concentration or difficulty making decisions
6. Feelings of hopelessness.

Diagnostic Criteria for Premenstrual Dysphoric Disorder

A. In the majority of menstrual cycles, at least 5 symptoms must be present in the final week
before the onset of menses, start to improve within a few days after the onset of menses, and
become minimal or absent in the week postmenses

B. One or more of the following symptoms must be present:

1. Marked affective lability (e.g., mood swings, feeling suddenly sad or tearful, or increased
sensitivity to rejection)
2.Marked irritability or anger or increased interpersonal conflicts

3. Markedly depressed mood, feelings of hopelessness, or self-deprecating thoughts

4. Marked anxiety, tension, and/or feelings of being keyed up or on edge

Diagnostic Criteria for Disruptive Mood Dysregulation Disorder

A. Severe recurrent temper outburst manifested verbally (e.g., verbal rages) and/or
behaviorally (e.g., physical aggression toward people or property) that are grossly out of
proportion in intensity or duration to the situation or provocation
Diagnostic Criteria for Cyclothymic Disorder

a. For at least 2 years (at least 1 year in children and adolescents) there have been
numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic
episode and numerous periods with depressive symptoms that do not meet criteria for a
major depressive episode.

Diagnostic Criteria for Bipolar II Disorder

a. Criteria have been met for at least one hypomanic episode and at least one major depressive
episode

CHAP 8

Diagnostic Criteria for Bulimia Nervosa

A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both

of the following:

1. Eating, in a discrete period of time (e.g., within a two hour period), an amount of food
that is definitely larger than what most people would eat during a similar period of time
and under similar circumstances.
2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot
stop eating, or control what or how much one is eating).
b. Recurrent inappropriate compensatory behavior to prevent weight gain, such as self-
induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or
excessive exercise.

Diagnostic Criteria for Anorexia Nervosa

A. Restriction of energy intake relative to requirement, leading to a significantly low body

weight in the context of age, sex, developmental trajectory, and physical health.
B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes
with weight gain, even though at a significantly low weight

Diagnostic Criteria for Binge Eating Disorder

A. Recurrent episodes of binge eating. An episode of binge eating is characterized by

both of the following:

1. Eating, in a discrete period of time (e.g., within a two hour period), an amount of food
that is definitely larger than what most people would eat during a similar period of
time and under similar circumstances.
 2. A sense of lack of control over eating during the episode (e.g., a feeling that one
cannot stop eating, or control what or how much one is eating).

B. The binge-eating episodes are associated with three (or more) of the following:
1. Eating much more rapidly than normal
2. Eating until feeling uncomfortably full
3. Eating large amounts of food when not feeling physically hungry
4. Eating alone because of feeling embarrassed by how much one is eating
5. Feeling disgusted with oneself, depressed, or very guilty afterward

Diagnostic Criteria for Pica

A. Persistent eating of nonnutritive, nonfood substances over the period of at least 1 month
B. The eating of nonnutritive, nonfood substances the inappropriate to the developmental level
of the individual
C. The eating behavior is not part of a culturally supported or socially normative practice