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melancholic depression » ben

Posted by Elizabeth on June 14, 2001, at 14:05:00

In reply to Re: Paxil for melancholia, posted by ben on June 13, 2001, at 12:36:57

BTW -- here are the diagnostic criteria for "melancholic features" in a major depressive episode:

A. Either of the following, occurring during the most severe period of the current episode:

(1) loss of pleasure in all, or almost all, activities
(2) lack of reactivity to usually pleasurable stimuli (does not feel much better, even temporarily, when something good happens)

B. Three (or more) of the following:

(1) distinct quality of depressed mood (i.e., the depressed mood is experienced as distinctly different from the kind of feeling experienced after the death of a loved one)
(2) depression regularly worse in the morning
(3) early morning awakening (at least 2 hours before usual time of awakening)
(4) marked psychomotor retardation or agitation
(5) significant anorexia or weight loss
(6) excessive or inappropriate guilt

(_Diagnostic and Statistical Manual of Mental Disorders_, 4th ed. American Psychiatric Association 1994)


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