DSM-IV - Mood Disorder Due to a General Medical Condition
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Mood Disorders
[From American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Text rev. Washington, DC: American Psychiatric Association; copyright 2000.] ...
- A prominent and persistent disturbance in mood predominates in the clinical picture and is characterized by either (or both) of the following:
- depressed mood or markedly diminished interest or pleasure in all, or almost all, activities
- elevated, expansive, or irritable mood
- There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct physiological consequence of a general medical condition.
- The disturbance is not better accounted for by another mental disorder (e.g., adjustment disorder with depressed mood in response to the stress of having a general medical condition).
- The disturbance does not occur exclusively during the course of a delirium.
- The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.
Specify type:
With depressive features: if the predominant mood is depressed but the full criteria are not met for a major depressive episode
With major depressive-like episode: if the full criteria are met (except Criterion D) for a major depressive episode
With manic features: if the predominant mood is elevated, euphoric, or irritable
With mixed features: if the symptoms of both mania and depression are present but neither predominates
Coding note: Include the name of the general medical condition on Axis I, e.g., mood disorder due to hypothyroidism, with depressive features; also code the general medical condition on Axis III.
Coding note: If depressive symptoms occur as part of a preexisting vascular dementia, indicate the depressive symptoms by coding the appropriate subtype, i.e., vascular dementia, with depressed mood.
With depressive features: if the predominant mood is depressed but the full criteria are not met for a major depressive episode
With major depressive-like episode: if the full criteria are met (except Criterion D) for a major depressive episode
With manic features: if the predominant mood is elevated, euphoric, or irritable
With mixed features: if the symptoms of both mania and depression are present but neither predominates
Coding note: Include the name of the general medical condition on Axis I, e.g., mood disorder due to hypothyroidism, with depressive features; also code the general medical condition on Axis III.
Coding note: If depressive symptoms occur as part of a preexisting vascular dementia, indicate the depressive symptoms by coding the appropriate subtype, i.e., vascular dementia, with depressed mood.
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