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ICD-11 Criteria for Current Depressive Episode With Melancholia

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ICD-11 Criteria for Current Depressive Episode With Melancholia

6A80.3

Description

In the context of a current Depressive Episode, several of the following symptoms have been present during the worst period of the current episode: loss of interest or pleasure in most activities that are normally enjoyable to the individual (i.e., pervasive anhedonia); lack of emotional reactivity to normally pleasurable stimuli or circumstances (i.e., mood does not lift even transiently with exposure); terminal insomnia (i.e., waking in the morning two hours or more before the usual time); depressive symptoms are worse in the morning; marked psychomotor retardation or agitation; marked loss of appetite or loss of weight.

Diagnostic Requirements

This specifier can be applied if, in the context of a current Depressive Episode, several of the following symptoms have been present during the worst period of the current episode:

  • Loss of interest or pleasure in most activities that are normally enjoyable to the individual (i.e., pervasive anhedonia).
  • Lack of emotional reactivity to normally pleasurable stimuli or circumstances (i.e., mood does not lift even transiently with exposure).
  • Terminal insomnia (i.e., waking in the morning 2 hours or more before the usual time).
  • Depressive symptoms are worse in the morning.
  • Marked psychomotor retardation or agitation.
  • Marked loss of appetite or loss of weight.

Reference:

International Classification of Diseases Eleventh Revision (ICD-11). Geneva: World Health Organization; 2022. License: CC BY-ND 3.0 IGO.
https://creativecommons.org/licenses/by-nc-nd/3.0/igo/
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