Clinical depression differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
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| align="center" |'''Distinguishing feature from Major depressive Disorder''' | | align="center" |'''Distinguishing feature from Major depressive Disorder''' | ||
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|'''[[Bipolar I or Bipolar II disorder]]''' | |'''[[Bipolar I]] or [[Bipolar II disorder]]''' | ||
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*One or more manic or hypomanic episodes are required for diagnosis. | *One or more manic or hypomanic episodes are required for diagnosis. | ||
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*[[Schizoaffective disorder]]is characterized by major depressive episodes with concurrent active-phase symptoms of schizophrenia, AND presence of hallucinations or delusions for two or more weeks in the absence of a major mood episode, AND major depressive episodes are present for the majority of the total duration of illness. | *[[Schizoaffective disorder]]is characterized by major depressive episodes with concurrent active-phase symptoms of schizophrenia, AND presence of hallucinations or delusions for two or more weeks in the absence of a major mood episode, AND major depressive episodes are present for the majority of the total duration of illness. | ||
*If psychotic symptoms are present exclusively during major depressive episodes, the diagnosis of "Major depressive disorder with psychotic features" is made. | *If psychotic symptoms are present exclusively during major depressive episodes, the diagnosis of "Major depressive disorder with psychotic features" is made. | ||
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|'''[[Adjustment disorder with depressed mood]]''' | |||
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*It is characterized by depressive symptoms occurring within 3 months of an identifiable psychological stressor that last <6 months after the stressor has ended. | |||
* Symptoms should not meet the criteria for a major depressive episode. | |||
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|'''[[Bereavement]]''' | |||
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*Bereavement occurs in response to the loss of a loved one. The symptoms are generally milder than a major depressive episode. Feelings of emptiness and loss are the predominant affects in bereavement, in contrast to depressed mood and inability to experience pleasure (anhedonia) in major depressive episodes. | |||
The dysphoric mood in grief usually decreases in intensity over days to weeks, occurs in wanes, and tend to be associated with thoughts and reminders of the deceased, whereas the depressed mood in major depressive episode that is more persistent and not related to particular thoughts or preoccupations. | |||
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|'''[[Sadness]]''' | |||
| nonpathological periods of sadness are characterized by the short duration of few depressive symptoms that are not associated with significant functional impairment or distress. | |||
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Revision as of 11:25, 7 May 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]
Overview
Differential Diagnosis
Differential diagnosis for Major Depressive Disorder | |
Depressive disorder | Distinguishing feature from Major depressive Disorder |
Bipolar I or Bipolar II disorder |
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Depressive disorder due to another medical condition |
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Substance/medication-induced depressive disorder |
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Persistent depressive disorder (Dysthymia) |
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Premenestrual dysphoric disorder |
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Disruptive mood dysregulation disorder |
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Schizoaffective disorder |
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Adjustment disorder with depressed mood |
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Bereavement |
The dysphoric mood in grief usually decreases in intensity over days to weeks, occurs in wanes, and tend to be associated with thoughts and reminders of the deceased, whereas the depressed mood in major depressive episode that is more persistent and not related to particular thoughts or preoccupations. |
Sadness | nonpathological periods of sadness are characterized by the short duration of few depressive symptoms that are not associated with significant functional impairment or distress. |