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DSM-5 criteria for a major depressive episode

At least five of the following are present, including either depressed mood or loss of interest:
- Depressed mood most of the time
- Less interest or enjoyment of most activities
- Significant weight change not associated with dieting
- Insomnia or excessive sleep
- Excessive increase or reduction in physical movement
- Substantial fatigue or lack of energy
- Feelings of worthlessness or inappropriate guilt
- Lack of concentration or ability to think or make decisions
- Recurrent thoughts of death and suicide or suicide attempt
The symptoms are not better accounted for by schizoaffective disorder or other mental disorder
or due to the effects of a substance or other medical condition

DSM-5 criteria for major depressive disorder (MDD), single episode & recurrent
- Presence of a single major depressive episode (not attributable to normal and expected
reactions to bereavement, etc.) without previous manic or hypomanic episode where
symptoms are not better accounted for by other disorders
- The symptoms must cause clinically significant distress or impairment in social,
occupational, or other forms of functioning

DSM-5 criteria for dysthymic disorder


Depressed mood most of the time for at least 2 years
Presence of at least two of the following:
- Poor appetite or overeating
- Lack of or excessive sleeping
- Low levels of energy or fatigue
- Low self-esteem
- Poor concentration or decision-making abilities
- Feelings of hopelessness
The symptoms are not due to the effects of a substance or other medical condition.

DSM-5 criteria for a manic episode


Unusual and continual elevated, unreserved, or irritable mood and unusual and continual
increase in energy levels lasting at least a week
Presence of at least three of the following:
- Inflated self-esteem or grandiosity
- Less need for sleep
- Increased talkativeness
- Racing thoughts
- Easily distractable
- Increase in goal-directed activity or unintentional and purposeless motions
- Unnecessary participation in activities with a high potential for painful consequences

DSM-5 criteria for bipolar disorders I and II


Bipolar disorder I:
- Presence or history of at least one manic episode(s)
- The manic episode may have been preceded by and may be followed by hypomanic or
major depressive episodes
- Symptoms are not better accounted for by schizoaffective disorder or other disorders
Bipolar disorder II:
- Presence or history of at least one major depressive episode(s)
- Presence or history of at least one hypomanic episode(s)
- No history of manic episode(s)
- Symptoms are not better accounted for by schizoaffective disorder or other disorders

DSM-5 definition of hypomania


Unusual and continual elevated, unreserved, or irritable mood and an unusual and continual
increase in energy levels lasting at least a week
Presence of at least three of the following:
- Increased self-esteem or grandiosity
- Less need for sleep
- Increased talkativeness
- Racing thoughts
- Easily distractable
- Increase in goal-directed activity or unintentional and purposeless motions
- Unnecessary participation in activities with a high potential for painful consequences
A noted change in functionality which is not usually seen in the individual and the changes in
functionality and mood are noticeable by others.
The episode is not due to the use of medication, drug abuse, or other treatment

DSM-5 criteria for cyclothymic disorder


- For at least 2 years there have been many periods with hypomanic symptoms that do
not meet the criteria for a hypomanic episode and many periods with depressive
symptoms that do not meet the criteria for a major depressive episode. These symptoms
have not been absent for more than 2 months at a time
- No major depressive episode, manic episode, or hypomanic episode has been present
during the first 2 years of the disorder
- The episode is not due to the use of medication, drug abuse, or other treatment

DSM-5 diagnostic criteria for nonsuicidal self injury


Over the previous year on at least five occasions the individual has intentionally self-inflicted
damage to the surface of their body to induce bleeding, bruising, or pain with the anticipation
that the injury will lead to only minor or moderate physical injury
Presence of at least 2 of the following:
- Negative feelings or thoughts such as depression, anxiety, and suchlike immediately
prior to the self-injury
- Before the self-injury a period of fixation with the intended self-injury which is hard to
resist
- Preoccupation with self-injury occurs frequently even when not acted upon
- The self-injury is carried out with the expectation that it will relieve a negative feeling or
induce a positive feeling during or directly after the self-injury
The self-injury does not occur only during states of psychosis, delirium, or intoxication
There is no suicidal intent

DSM-5 diagnostic criteria for anorexia nervosa


- A significantly reduced calorie intake relative to the requirements of the body leading to a
considerably low body weight
- Intense fear of gaining weight or becoming fat
- A disruption in the way that the patient evaluates their body or shape, increasing undue
influence of body weight or shape on self-evaluation
DSM-5 diagnostic criteria for bulimia nervosa
- Repeated incidents of binge eating
- Frequent inappropriate compensatory behaviours in order to avoid weight gain, such as
self-induced vomiting, fasting, or excessive exercise
- Binge eating and compensatory behaviours both occur on average at least once a week
for 3 months
- View of oneself is overly influenced by body shape and weight

DSM-5 diagnostic criteria for binge-eating disorder


Repeated incidents of binge eating
Binge eating is accompanied by at least three of the following:
- Eating quicker than usual
- Eating until uncomfortably full
- Eating sizable amounts of food when not feeling hungry
- Eating alone due to being embarrassed by the amount of food eaten
- Feeling disgusted, depressed or guilty after binge eating
Distress regarding binge eating
Binge eating is not accompanied by inappropriate compensatory behaviour as seen in bulimia
nervosa

DSM-5 diagnostic criteria for somatic symptom disorder


Shows at least one somatic symptom (present for at least 6 months) that causes distress or
disruption in everyday life
Unwarranted thoughts, feelings or behaviours related to the somatic symptoms or associated
health concerns, indicated by at least one of the following:
- Disproportionate and persistent thoughts about how serious the symptoms are
- Constantly high levels of anxiety about symptoms or health in general
- Unwarranted levels of time and energy devoted to symptoms or health concerns

DSM-5 diagnostic criteria for illness anxiety disorder


- Obsession with having or contracting a serious illness
- Somatic symptoms are very mild or not present at all
- High levels of anxiety about health and easily alarmed about personal health
- Performs excessive health-checking behaviour or shows maladaptive avoidance
- Illness preoccupation has been present for at least 6 months
- The symptoms are not better explained by another mental disorder

DSM-5 diagnostic criteria for conversion disorder


- At least one symptom of altered voluntary or sensory function
- Evidence or incompatibility between the symptoms and known neurological or medical
conditions
- The symptoms are not better accounted for by another medical condition or mental
disorder
- The symptoms cause significant distress or impairment in important areas of functioning

DSM-5 diagnostic criteria for factitious disorder


- Fabrication of physical of physiological symptoms or sign of injury or disease
- Presenting oneself as ill or injured to others
- The deception is evident despite a lack of obvious reward
- The behaviour is not better explained by another mental disorder, such as delusional
disorder

DSM-5 diagnostic criteria for factitious disorder imposed on another


- Fabrication of physical or physiological symptoms or sign of injury or disease in another
- Presenting another as ill or injured to others
- The deception is evident despite a lack of obvious reward
- The behaviour is not better explained by another mental disorder, such as a delusional
disorder
*note: in factitious disorder imposed on another it is the perpetrator, not the victim, who receives
the diagnosis

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