Post
by Ni-ban Neko » Mon May 03, 2004 10:20 pm
Dear everyone:
I'm about 2 weeks from getting my master's degree in psychology. As part of my MA, I did clinical assessment training, and I own a copy of the DSM-IV, which is the major reference psychiatrists and psychologists use for diagnosing people. I'll be quoting from the DSM throughout the rest of this post.
There are nine criteria listed in the DSM for a major depressive episode. If you exhibit five of the nine during a two-week period, you *might* qualify for diagnosis. Those nine criteria are:
1.) depressed mood most of the day, nearly every day. In adolescents and children, irritable mood applies.
2.) markedly diminished interest or pleasure in all, or almost all, activities through most of the day, nearly every day.
3.) a change of more than 5% in a month, or decrease or increase in appetite, nearly every day.
4.) insomnia or hypersomnia (sleeping too much) nearly every day
5.) psychomotor agitation or retardation nearly every day (in other words, restlessness or sluggishness).
6.) fatigue or loss of energy nearly every day
7.) feelings of worthlessness or excessive or inappropriate guilt, nearly every day
8.) diminished ability to concentrate or think, nearly every day
9.) recurrent thoughts of death/suicidal thoughts
After these are assessed, it's time to rule out other issues and doublecheck things.
The symptoms must cause clinically significant distress or impairment in social, occupational, or other functional areas.
The symptoms must not be attributable to a disease or the effects of a substance or medication.
The symptoms aren't better accounted for by something else - if they're better accounted for by something else, that's enough to rule out depression. That could be bereavement, it could be a stressful situation, or any number of things, including simply being a teen. Hormones can cause mood swings, and those don't count as major depression. In other words, teenage angst is not depression. Not that I don't sympathize with you, but it's the truth.
Okay. I've said my piece.
Last edited by
Ni-ban Neko on Mon May 03, 2004 10:26 pm, edited 1 time in total.
Jen Graña ~ Ni-ban Neko
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