Criteria for Major Depressive Episode
(cautionary statement)
A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either
(1) depressed mood or
(2) loss of interest or pleasure.
Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations.
(1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
(2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
(3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
(4) Insomnia or Hypersomnia nearly every day
(5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
(6) fatigue or loss of energy nearly every day
(7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
(8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
(9) 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
B. The symptoms do not meet criteria for a Mixed Episode (see p. 335).
C. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism).
E. The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.
So... what can I say about that? You have to meet 5 of the criteria to get the diagnosis. And it can't be caused by a medical condition... Hmm... they never tested for a medical condition. As far as the insomnia goes... I was diagnosed with insomnia and "Phase Delayed Sleep Disorder" back when I was in university. The weight loss has always been an issue. I can gain/lose 5 pounds in a day. The difficulty concentrating can be seen as a symptom of depression.... although I believe it was related to the fatigue.
I was under a great deal of stress at the time. Nothing I did for my boss was ever going to be good enough. I was beyond fatigued and could not concentrate. I was constantly feeling sick. And then there was the actual reason that I was tempted to go back to the self-injury... my stalker. It was really stressing me out because I felt alone and isolated. I couldn't go anywhere or do anything. I really felt trapped. So I was having a tough time. I was having issues at work but didn't want to be at home either. It was a losing battle. So with everything that was going on I was stressed out.... But I was not suicidal or depressed. I'm not even sure I would've met the criteria for a diagnosis.
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