Persistent depressive disorder (dysthymia)

The full DSM-5-TR criteria are not included in this record. Everything the record does hold is shown below. Check DSM-5-TR before recording the diagnosis.

1. A

   Key feature A

   Depressed mood most of the day, more days than not, for ≥2 years (≥1 yr children/adolescents)

2. B

   Key feature B

   ≥2 of: poor appetite/overeating; insomnia/hypersomnia; low energy; low self-esteem; poor concentration; hopelessness

3. C

   Key feature C

   No symptom-free period >2 months in the 2-year span

4. D

   Key feature D

   MDE criteria may be continuously met throughout the 2-year period (double depression)

5. E

   Key feature E

   No manic, hypomanic, or cyclothymic episode

6. F

   Key feature F

   Not better explained by a psychotic disorder

7. G

   Key feature G

   Not attributable to substances or another medical condition

8. H

   Key feature H

   Clinically significant distress or impairment

With pure dysthymic syndrome

Full PDD without concurrent major depressive episode.

With persistent major depressive episode

Full MDE criteria met continuously for ≥2 years.

With intermittent MDEs, with current episode

PDD plus current MDE.

With intermittent MDEs, without current episode

PDD with past MDEs only.

Mild / Moderate / Severe

Based on symptom intensity and functional impairment.

Early onset

Onset before age 21.

Late onset

Onset at age 21 or older.