TO THE COSMOS BEYOND THE CIVILLIZED MIND

• Diagnostic Criteria

Diagnostic Criteria

1. At least one of the following three abnormal moods which significantly interfered with the person's life:
   1. Abnormal depressed mood most of the day, nearly every day, for at least 2 weeks.
   2. Abnormal loss of all interest and pleasure most of the day, nearly every day, for at least 2 weeks.
   3. If 18 or younger, abnormal irritable mood most of the day, nearly every day, for at least 2 weeks.
2. At least five of the following symptoms have been present during the same 2 week depressed period.
   1. Abnormal depressed mood (or irritable mood if a child or adolescent) [as defined in criterion A].
   2. Abnormal loss of all interest and pleasure [as defined in criterion A2].
   3. Appetite or weight disturbance, either:
      • Abnormal weight loss (when not dieting) or decrease in appetite.
      • Abnormal weight gain or increase in appetite.
   4. Sleep disturbance, either abnormal insomnia or abnormal hypersomnia.
   5. Activity disturbance, either abnormal agitation or abnormal slowing (observable by others).
   6. Abnormal fatigue or loss of energy.
   7. Abnormal self-reproach or inappropriate guilt.
   8. Abnormal poor concentration or indecisiveness.
   9. Abnormal morbid thoughts of death (not just fear of dying) or suicide.
3. The symptoms are not due to a mood-incongruent psychosis.
4. There has never been a Manic Episode, a Mixed Episode, or a Hypomanic Episode.
5. The symptoms are not due to physical illness, alcohol, medication, or street drugs.
6. The symptoms are not due to normal bereavement.

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