Major Depressive Episode
DSM IV Criteria
A) Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations 1) depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
2) markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
3) significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
4) insomnia or hypersomnia nearly every day
5) psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
6) fatigue or loss of energy nearly every day
7) feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
8) diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
9) recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide B) The symptoms do not meet criteria for a Mixed Episode C) The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. D) The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism) E) The symptoms are not better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.
Because this situation is affecting you as well, you will no doubt benefit from this book as well.
This can be turned around but she must be able to recognize her part in it and come to terms by means of action.
If you cause undue stress in her life (and you did not indicate that you did) then try to become aware of how you related to her, particularly while she is so terribly irritable and touchy.
I wish you both great success and healing and to that end I shall keep you both in my prayers.
Elliott, MAE, LPCC, NCC, CCMHC
I truly believe she is not depressed. She is happy in her day to day activities even though she is stressed out. I just don't understand the masturbating at night in sleep. She tells me she is still in love with me or else she would've left.
The evidence points to depression. A depressed person can show a happy face to the world but she cannot fool you and because she trusts you the most she reveals her true nature which she cannot hide from you.She masturbates for self-therapy, whether conscious or unconscious. She is not merely a sex addict.I'm sure that she loves you but cannot show it because she does not love herself. If you are a true believer than I will not go against your beliefs..My opinion is not based on belief but on the criteria she demonstrates, which is the basis for mental health diagnosis.I wish you both great fortuneWarm regards,Elliott, MAE, LPCC, NCC, CCMHC