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.
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