Major depressive disorder specifiers

severity

mild, moderate, severe

The psychotic symptoms fit with the depressed mood (feeling worthless and having delusions about being punished).

with mood-congruent psychotic features

The psychotic symptoms do not fit with the depressed mood (having paranoid thoughts or grandiose ideas during a depressive episode

with mood-incongruent psychotic features

presenece of anxiety symptoms (restlessness, fear of something bad happening) alongside depression

with anxious distress

depression with some manic symptoms

with mixed features

loss of pleasure, worse mood in the morning, psychomotor agitation or retardation

with melancholic features

mood reactivity (mood brightens in response to positive events), increased appetite, hypersonia

with atypical features

Motor abnormalities like stupor, rigidity, or excessive movement

with catatonia

depression begins during pregnancy or within 4 weeks after delivery

with peripartum onset

episodes recur at certain times of the year, usually fall/winter

with seasonal pattern

symptoms have improved (partial) or resolved (full but diagnosis still relevant

in partial/full remission