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Choose a clinical role, then select a specifier.
1
Episode features
What is present now
2
Course and onset
When and how it unfolds
3
Severity or remission
Current burden or recovery
Episode features
6 options
Anxious distress
Anxiety is woven into the mood episode and changes its risk and management profile.
Mixed features
The presentation crosses mood poles rather than being explained by anxiety, irritability, or agitation alone.
Melancholic features
Pleasure and emotional reactivity are markedly reduced, not merely overshadowed by stress.
Atypical features
Mood can brighten in response to positive events despite a clinically significant depressive episode.
Psychotic features
Psychosis is present, and its relationship to the mood episode determines the diagnostic wording.
Catatonia
A cluster of psychomotor signs is more informative than immobility or reduced speech alone.
Course and onset
3 options
Seasonal pattern
The recurring calendar-linked course matters more than the season in which one episode happens.
Peripartum onset
Timing around pregnancy and birth changes safety assessment, treatment context, and family support needs.
Rapid cycling
Count syndromal episodes across time; do not substitute moment-to-moment emotional lability.
Severity and remission
3 options
Mild
Severity describes the whole episode: symptom burden, intensity, risk, and functional impact.
Partial remission
The person is better but not symptom-free, or recovery is too recent to call full remission.
Full remission
Full remission is a longitudinal conclusion, not a single good day or improvement from baseline.