DSM 5 TR

Broken down parts of it

Major Depressive Disorder (MDD) Duration

≥2 weeks 5+ symptoms including depressed mood or anhedonia.

MDD - Impairment

Causes clinically significant distress or impairment in social

MDD - Key Feature

Differentiate from grief; single or recurrent episodes.

MDD Symptoms - Sleep

Insomnia or hypersomnia.

MDD Symptoms - Interest

Markedly diminished interest or pleasure (anhedonia).

MDD Symptoms - Guilt

Feelings of worthlessness or excessive guilt.

MDD Symptoms - Energy

Fatigue or loss of energy.

MDD Symptoms - Concentration

Diminished ability to think or concentrate

MDD Symptoms - Appetite

Significant weight loss/gain or appetite change.

MDD Symptoms - Psychomotor

Observable agitation or retardation.

MDD Symptoms - Suicidality

Recurrent thoughts of death

Persistent Depressive Disorder (PDD/Dysthymia) - Duration

≥2 years adults

PDD - Symptoms

Depressed mood + 2+ (poor appetite/overeating insomnia/hypersomnia low energy low self-esteem poor concentration hopelessness).

PDD - Key Feature

Chronic low mood

Premenstrual Dysphoric Disorder (PMDD) - Timing

In most menstrual cycles

PMDD - Symptoms

≥5 symptoms with ≥1 core mood symptom (mood swings

Disruptive Mood Dysregulation Disorder (DMDD) - Age/Duration

Ages 6–18; ≥12 months

DMDD - Symptoms

Severe temper outbursts (3+/week) and persistent irritability/anger in 2+ settings

Bipolar I Disorder - Duration

≥1 week of mania (or any duration if hospitalization required).

Bipolar I - Symptoms

3+ (4+ if mood only irritable): grandiosity

Bipolar I - Impairment

Marked impairment hospitalization or psychosis.

Bipolar I - Key Feature

At least 1 lifetime manic episode.

Bipolar II Disorder - Duration

≥4 days hypomania + ≥2 weeks MDD.

Bipolar II - Symptoms

Same symptom list as mania but less severe; hypomania not severely impairing.

Bipolar II - Key Feature

No history of full mania; hypomania + depression required.

Cyclothymic Disorder - Duration

≥2 years adults

Cyclothymic - Symptoms

Numerous hypomanic and depressive symptoms that do not meet full criteria.

Cyclothymic - Key Feature

Chronic mood fluctuations no >2 months symptom-free.

Manic Episode - Duration

≥1 week (or any if hospitalization required).

Manic Episode - Symptoms 3+ (4+ if irritable): inflated self-esteem

↓ sleep pressured speech flight of ideas distractibility ↑ goal-directed activity risky activities.

Manic Episode - Impairment

Marked impairment hospitalization or psychosis.

Hypomanic Episode - Duration

≥4 consecutive days.

Hypomanic Episode - Symptoms

Same symptoms as mania.

Hypomanic Episode - Distinction

Not severe enough to cause marked impairment hospitalization or psychosis; observable by others.

Gender Dysphoria (Adults/Adolescents) - Duration

≥6 months.

Gender Dysphoria (Adults/Adolescents) - Criteria

Incongruence between experienced/expressed gender and assigned sex, plus ≥2 (incongruence with sex characteristics, desire to be rid of them, desire for other gender's characteristics, desire to be treated as other gender, conviction of other gender feelings).

Gender Dysphoria (Adults/Adolescents) - Impairment

Clinically significant distress or impairment.

Gender Dysphoria (Children) - Duration

≥6 months.

Gender Dysphoria (Children) - Criteria

Incongruence between experienced/expressed gender and assigned sex, plus ≥6 (one must be strong desire to be other gender). Includes cross-gender role play, clothing, toys, peers, dislike of anatomy, desire for other sex characteristics.

Gender Dysphoria (Children) - Impairment

Clinically significant distress or impairment in functioning.

Substance/Medication-Induced Depressive Disorder - Symptoms

Prominent depressed mood or loss of interest/pleasure.

S/M-I Depressive Disorder - Onset

During or soon after intoxication, withdrawal, or exposure.

S/M-I Depressive Disorder - Evidence

Substance is capable of producing the symptoms.

S/M-I Depressive Disorder - Exclusion

Not better explained by independent depressive disorder.

S/M-I Depressive Disorder - Impairment

Clinically significant distress or impairment.

Substance/Medication-Induced Bipolar Disorder - Symptoms

Elevated, expansive, or irritable mood (with or without depression).

S/M-I Bipolar Disorder - Onset

During or soon after substance use or withdrawal.

S/M-I Bipolar Disorder - Evidence

Substance/medication known to produce such symptoms.

S/M-I Bipolar Disorder - Exclusion

Not better explained by primary bipolar disorder.

S/M-I Bipolar Disorder - Impairment

Clinically significant distress or impairment.

Bipolar Disorder Due to Medical Condition - Symptoms

Prominent elevated, expansive, or irritable mood with increased activity/energy.

Bipolar Disorder Due to Medical Condition - Evidence

Direct pathophysiological consequence of another medical condition.

Bipolar Disorder Due to Medical Condition - Exclusion

Not better explained by another mental disorder, not during delirium.

Bipolar Disorder Due to Medical Condition - Impairment

Clinically significant distress or impairment.

Other Specified Bipolar Disorder - Definition

Symptoms cause distress/impairment but do not meet criteria for a specific bipolar disorder.

Other Specified Bipolar Disorder - Examples

Short-duration hypomania + depression, hypomania without prior depression, too few symptoms for hypomania/mania.

Depressive Disorder Due to Medical Condition - Symptoms

Prominent depressed mood or loss of interest/pleasure.

Depressive Disorder Due to Medical Condition - Evidence

Direct pathophysiological consequence of a medical condition.

Depressive Disorder Due to Medical Condition - Exclusion

Not better explained by another mental disorder, not during delirium.

Depressive Disorder Due to Medical Condition - Impairment

Clinically significant distress or impairment.

Other Specified Depressive Disorder - Definition

Symptoms cause distress/impairment but do not meet criteria for a specific depressive disorder.

Other Specified Depressive Disorder - Examples

Recurrent brief depression, short-duration depression, depressive episode with insufficient symptoms.

Manic episode criteria A

A distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistently increased activity or energy, lasting at least 1 week and present most of the day, nearly every day (or any duration if hospitalization is necessary).

In own words:

Manic episode criteria B

During the period of mood disturbance and increased energy or activity, THREE (or more) of the following symptoms (FOUR if the mood is only irritable) are present to a significant degree and represent a noticeable change from usual behavior:

1. inflated self-esteem or grandiosity

2. decreased need for sleep (e.g., feels rested after only 3 hours of sleep)

3. more talkative than usual or pressure to keep talking

4. flight of ideas or subjective experience that thoughts are racing

5. distractibility (i.e., attention too easily drawn to unimportant or irrelevant external stimuli) as reported or observed

6. increase in goal-directed activity (either socially, at work or school, or sexually) or psychomotor agitation (i.e., purposelessness non-goal-directed activity)

7. Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments.

In own words:

Manic episode criteria C

The mood disturbance is sufficiently severe to cause marked impairment in social or occupational functioning or to necessitate hospitalization to prevent harm to self or others, or there are psychotic features.

In own words:

Manic episode criteria D

The episode is not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication, other treatment) or another medical condition.