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Topic : Depression

Diagnostic Criteria for Major Depression

Depressed mood or markedly decreased pleasure in most activities. Duratiton > or = 2 weeks

At least 5 of the following symptoms are present nearly every day:

  • Depressed mood
  • Lost of interest or pleasure in most activities
  • Significant weight loss/gain or decreased/increased appetite
  • Insomnia or hypersomnia
  • Psychomotor aggitation or retardation
  • Loss of energy or fatigue
  • Feelings of worthlessness or excessive/imappropriate guilt
  • Diminished ability to think/concentrate or indecisiveness
  • Recurrent thoughts of suicide or death

Symptoms cause clinically significant distress

Symptoms cannot be accounted for by other condtion.

Adapted from DSM 4

Depression in Primary Care from the NIH

This Clinical Practice Guideline (Depression in Primary Care: Volume 1. Detection and Diagnosis; and Volume 2. Treatment of Major Depression) was developed with support from the Agency for Health Care Policy and Research (AHCPR) by the Depression Guideline Panel to assist primary care providers (e.g., general practitioners, family practitioners, internists, nurse practitioners, registered nurses, mental health nurse specialists, physician assistants, and others) in the diagnosis of depressive conditions and the treatment of major depressive disorder.

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This page was create for our staff and students. Its sole purpose is to stimulate thought. It is not meant to replace nor substitute in any way for the care of a physician or appropriate expert.

Webmaster: John W. Norris, III, M.D.

All contents copyright © 1998-2004 John W. Norris, III, MD.  All rights reserved
All information within this site subject to change without notice.

Revised March 16, 2004.