Diagnostic wording

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Choose the base diagnosis, then add only the episode, course, and severity specifiers that apply.

2 · Episode features

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Select only features supported by the current presentation.

Anxious distressAnxiety is woven into the mood episode and changes its risk and management profile.Mixed featuresThe presentation crosses mood poles rather than being explained by anxiety, irritability, or agitation alone.Melancholic featuresPleasure and emotional reactivity are markedly reduced, not merely overshadowed by stress.Atypical featuresMood can brighten in response to positive events despite a clinically significant depressive episode.Psychotic featuresPsychosis is present, and its relationship to the mood episode determines the diagnostic wording.CatatoniaA cluster of psychomotor signs is more informative than immobility or reduced speech alone.

Diagnostic wording

Build a clear diagnosis

Choose the base diagnosis, then add only the episode, course, and severity specifiers that apply.

2 · Episode features

Add episode features

Select only features supported by the current presentation.