grande today’s question is what is major depressive disorder so with major depressive disorder there are symptom criteria as well as some other criteria and for somebody to receive a diagnosis of major depressive disorder or MD D they would have to have at least one major depressive episode it’s not unusual for individuals with major depressive.

Disorder to have had multiple major depressive episodes through the course of their lifetime when we look at the definition for major.

Diagnostic and Statistical Manual we see a number of symptom criteria in Section a five or more of these symptoms criteria need to be met in the last two weeks however with the first.

Two symptom criteria one of those two symptom criteria must be present the first symptom criterion is depressed mood and this would be most of the day nearly every day.

The second is markedly diminished interest or pleasure in all or almost all activities and again this is most.

Of the day nearly every day so one of those two symptom criteria must be met now looking at the other symptom criteria the first one is a weight gain or weight loss so either one of those can occur then we have too much or too little sleep.
The way we usually see this with major depressive disorder is.

Someone can sleep initially they can get to sleep.

But then they wake up and have difficulty returning to sleep or they can’t get back to sleep at all this is referred to as middle insomnia the next symptom criterion is psychomotor agitation or retardation nearly every day now this is a relatively uncommon symptom in major depressive disorder however.

It is associated with a more severe presentation also with this symptom criterion.

The psychomotor agitation or retardation must be observable this wouldn’t be simply a subjective self-report this would be something that.

A mental health clinician could observe next symptom is fatigue or loss of energy nearly every day now this is a fairly common symptom we see in major depressive disorder as a matter of fact this is one of the more likely symptoms that would be the initial complaint when somebody comes in to be assessed.

For the symptoms so oftentimes as my health clinicians we find out about this complaint first and later on we find out about depressed mood or diminished interest and pleasure and activities with the next symptom we have feelings of worthlessness or excessive or inappropriate guilt.

And again this is nearly every day with this particular symptom criterion sometimes we see that these feelings where this inappropriate guilt rise to.

The level of being delusional so with some presentations of major depressive.

Disorder we do see delusions or hallucinations psychotic symptoms the next symptom criterion is trouble concentrating again this is nearly every day and the last symptom criterion is.

Recurrent thoughts of death this also includes suicidal ideation a suicide attempt or a plan to commit suicide so those are the symptom criteria for major depressive disorder there are four other criteria there needs to be clinically significant distress the disturbance can’t be better explained through substance use.

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