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.
our son went to university, she turned 40, she had an IUD, a friend of ours died, two of her friends are in custody battles, her mom used to tell her she was a mistake, her dad never has told her he loves her, this is her second marriage, got fired from her job, spends money when she's depressed then feels guilty, she's been seeing a therapist for years and is on meds for depression,I have bipolar which is under control. I know she's depressed but why does she push me away? Is there anything I can do to save my marriage? This is extremely urgent!!!!!!!!!