Diagnostic Criteria

CHAP 7 Diagnostic Criteria for Major Depressive Disorder A. At least one major depressive episode C- There has never been a manic episode or hypomanic episode Diagnostic Criteria for Persistent Depressive Disorder (Dysthymia) A. Depressed mood for most of the day B. Presence, while depressed, of 2 or more of the following: 1. Poor appetite or overeating 2. Insomnia or hypersomnia 3. Low energy or fatigue 4. Low self-esteem 5. Poor concentration or difficulty making decisions

6. Feelings of hopelessness.

Diagnostic Criteria for Premenstrual Dysphoric Disorder A. In the majority of menstrual cycles, at least 5 symptoms must be present in the final week before the onset of menses, start to improve within a few days after the onset of menses, and become minimal or absent in the week postmenses B. One or more of the following symptoms must be present: 1. Marked affective lability (e.g., mood swings, feeling suddenly sad or tearful, or increased sensitivity to rejection) 2.Marked irritability or anger or increased interpersonal conflicts 3. Markedly depressed mood, feelings of hopelessness, or self-deprecating thoughts 4. Marked anxiety, tension, and/or feelings of being keyed up or on edge Diagnostic Criteria for Disruptive Mood Dysregulation Disorder A. Severe recurrent temper outburst manifested verbally (e.g., verbal rages) and/or behaviorally (e.g., physical aggression toward people or property) that are grossly out of proportion in intensity or duration to the situation or provocation

Diagnostic Criteria for Cyclothymic Disorder a. For at least 2 years (at least 1 year in children and adolescents) there have been numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic episode and numerous periods with depressive symptoms that do not meet criteria for a major depressive episode. Diagnostic Criteria for Bipolar II Disorder a.

Criteria have been met for at least one hypomanic episode and at least one major depressive episode

CHAP 8 Diagnostic Criteria for Bulimia Nervosa

A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: 1. Eating, in a discrete period of time (e.g., within a two hour period), an amount of food that is definitely larger than what most people would eat during a similar period of time and under similar circumstances. 2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating, or control what or how much one is eating). b. Recurrent inappropriate compensatory behavior to prevent weight gain, such as selfinduced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.

Diagnostic Criteria for Anorexia Nervosa A. Restriction of energy intake relative to requirement, leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health. B. Intense fear of gaining weight or of becoming fat, or persistent behavior that interferes with weight gain, even though at a significantly low weight Diagnostic Criteria for Binge Eating Disorder A. Recurrent episodes of binge eating. An episode of binge eating is characterized by both of the following: 1. Eating, in a discrete period of time (e.g., within a two hour period), an amount of food that is definitely larger than what most people would eat during a similar period of time and under similar circumstances.

2. A sense of lack of control over eating during the episode (e.g., a feeling that one cannot stop eating, or control what or how much one is eating).

1. 2. 3. 4. 5.

B. The binge-eating episodes are associated with three (or more) of the following: Eating much more rapidly than normal Eating until feeling uncomfortably full Eating large amounts of food when not feeling physically hungry Eating alone because of feeling embarrassed by how much one is eating Feeling disgusted with oneself, depressed, or very guilty afterward

Diagnostic Criteria for Pica A. Persistent eating of nonnutritive, nonfood substances over the period of at least 1 month B. The eating of nonnutritive, nonfood substances the inappropriate to the developmental level of the individual C. The eating behavior is not part of a culturally supported or socially normative practice