Single episode depressive disorder Diagnostic Requierments	- Presence or history of a single Depressive Episode - No history of Manic, Mixed or Hypomanic episodes
Single episode depressive disorder categories:	1. Single episode Depressive Disorder Mild 2 y 3: Single episode Depressive Disorder Moderate or Severe without psychotic symptoms 4 y5: Single episode Depressive Disorder Moderate or Severe with psychotic symptoms 6. Single episode Depressive Disorder, Unspecified severity 7. Single Episode Depressive Disorder, currently in partial remission 8. Single Episode Depressive Disorder, currently in full remission
Single Episode Depressive Disorder, clinical features Specifiers:	- with prominent anxiety symptoms - with panic attacks - current Depressive Episode persistent (if it has last 2 years) - Current depressive Episode with melancholia (lost of interest or pleasure in most activities) (lask of emotional reactivity) - with seasonal pattern - Associated with pregnancy, childbirth or the puerperium, without psychotic symptoms Associated with pregnancy, childbirth or the puerperium, with psychotic symptoms
Single Episode Depressive Disorder; Differential Diagnosis	1. Dysthymic Disorder 2. Mixed Depressive and Anxiety disorder 3. Cyclothymic Disorder 4. Schizophrenia or Other Primary Psychotic Disorders 5. Anxiety or related disorders 6. Generalized Anxiety 7. Adjustment disorder ( maladaptive reaction to identifiable psychosocial stressors, and can include depressive symptoms) 8. Oppositional Defiant Disorder (noncompliance and symptoms of irritability/anger) - Insomnia 10. Secondary Mood Syndrome (with a medical condition) 11. Substance-Induced Mood Disorder
Single episode depressive disorder characteristics	A period of depressed mood or diminished interest in activities occurring most of the day, nearly every day during a period lasting at least two weeks accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness or excessive or inappropriate guilt, hopelessness, recurrent thoughts of death or suicide, changes in appetite or sleep, psychomotor agitation or retardation, and reduced energy or fatigue
Recurrent depressive disorder characteristics	A period of depressed mood or diminished interest in activities occurring most of the day, nearly every day during a period lasting at least two weeks accompanied by other symptoms such as difficulty concentrating, feelings of worthlessness or excessive or inappropriate guilt
Recurrent depressive disorder Diagnostic requierments	A history of at least 2 depressive episodes No history of Manic, Mixed or Hypomanic episodes
Recurrent depressive disorder severity specifiers	1. Recurrent depressive disorder, current episode mild 2.y 3. Recurrent depressive disorder, current episode moderate or severe without psychoyic symptoms 4 y5. Recurrent depressive disorder, current episode moderate or severe with psychoyic symptoms 6 . Recurrent depressive disorder, current episode unspecified 7. Recurrent depressive disorder, current episode patial remission 8. Recurrent depressive disorder, current episode full remission
Recurrent depressive disorder clinical specifiers	1. with prominent anxity symptoms 2. with panic attacks 3. current depressive episode persistent 4, current depressive episode with melancholia 5. with seasonal pattern 6. associated with pregnancy, childbirth or the puerperium, without psychotic symptoms 7. associated with pregnancy, childbirth or the puerperium, with psychotic symptoms
Recurrent depressive disorder ; differenctial diagnosis	1. Dysthymic Disorder 2. Mixed Depressive and Anxiety disorder 3. Cyclothymic Disorder 4. Schizophrenia or Other Primary Psychotic Disorders 5. Anxiety or related disorders 6. Adjustment disorder ( maladaptive reaction to identifiable psychosocial stressors, and can include depressive symptoms) 8. Oppositional Defiant Disorder (noncompliance and symptoms of irritability/anger) 9. Insomnia 10. Secondary Mood Syndrome (with a medical condition) 11. Substance-Induced Mood Disorder
Diferrences between mild, moderate and severe recurrent depressive disorder without psychotic symptoms:	1. Mild: the individual is usually distressed by the symptoms and has some difficulty in continuing to function in one of more domains 2. Moderate: The individual typically has considerable difficulty functioning in multiple domains 3. Severe: The individual has serious difficulty continuing to function in most domains
Diferrences between full remission and partial remission on recurrent depressive disorder	1. Partial: requierements for recurrent DD have been met but nor anymore, some depressive symptoms remain 2. Full: requirements for recurrent depressive disorder have been met but currently there are no significant mood symptoms.
Dysthymic Disorder diagnostic requierments	- Persistent depressive mood for at least 2 years --> most of the day and more days than not - Diminished interest or pleasure in activities, - reduced concentration and attention or indecisiveness, - low self-worth or excessive or inappropriate guilt, - hopelessness about the future, - disturbed sleep or increased sleep, - diminished or increased appetite, - low energy or fatigue - 2 eek period were symptom duration met diagnostic requierments - No history of manic, mixed or hypomanic - No medical association - distress from persisten depressive symptoms
Dysthymic Disorder Differential diagnosis:	1. Single Episode Depressive Disorder and Recurrent Depressive Disorder 2. Bipolar or related disorders 3. Schizophrenia or Other Primary Psychotic Disorders 4. Generalized anxiety disorder 5. Oppositional defiant disorder 6 . Secondary mood syndrome 7. substance.induced mood disorder
Mixed depressive and anxiety disorder diagnostic requierments	1- Presence of both depressive and anxiety symptoms for at least 2 weeks - Depressed mood, lask of interest - Anxiety symptomslike nervpusness anxiousness 2. They are not considered separated symptoms 3. NO MEDICAL CONDITIOn 4. Significant distress or impairment in relationships
Mixed depressive and anxiety disorder; differential diagnosis:	1. Other Depressive Disorders and Anxiety or Fear-Related Disorders: 2. Bipolar or Related Disorders 3. Adjustemnt disorder
Bipolar type I disorder characteristics:	1. episodic mood disorder defined by the occurrence of one or more manic or mixed episodes - extreme mood state for at least one week 2. Symptoms must include an altered mood state consistent with a manic and/or depressive episode presented most of the day, nearly every dat fro at least 2 weeks
Bipolar type I disorder Diagnostuc requierments:	- AT LEAST ONE manic or mixed episode
Bipolar type I disorder severity specifiers:	1 y 2 . Bipolar type I disorder, Current Episode Manic, without or with psychotic symptoms 3. Bipolar type I disorder, Current Episode Hypomanic 4. Bipolar type I disorder, Current episode Depressive, Mild 5. 6.y Bipolar type I disorder Current Episode Depressive, moderate or mild without psychotic symptoms 7 y8. Bipolar type I disorder Current Episode Depressive, Moderate or severe with psychoatic symptoms 9. Bipolar type I disorder Current Episode Depressive, unespecified severity 10 y 11. Bipolar type I disorder Current Episode Mixed, with or without psychoatic symptoms ------All can be in partial remission or remission
Bipolar type I disorder clinical features specifiers:	1. with prominent anxity symptoms 2. with panic attacks 3. current depressive episode persistent 4, current depressive episode with melancholia 5. with seasonal pattern 6. with rapid cycling (high frequency of mood episodes, 4 over the past 12 months) 7 y 8. associated with pregnancy, childbirth or the puerperium, without or with psychotic symptoms
Bipolar type I disorder differencial diagnosis:	1. Cyclothymic disorder 2. ADHD 3. Schizophrenia or Other Primary Psychotic Disorders: 4. Anxiety or Fear-Related Disorders 5. Personality disrder 6. Oppositional Defiant Disorder 7. Substance.induces mood disorder 8. other Mental diosrder 9. Secondary mood syndrome
Differences between Bipolar type I disorder with current manic episode, current hypomanic episode, current depressive episode: and current mixed episode:	1. Manic: extreme mood state lasting one week characterised with euphoria, irritability, increased activity, rapid speech, flight of ideas, gandiosity, decreased sleep, reckless behaviour, rapid mood states. 2. Hypomanic: several days with symptoms like mild elevation of mood, increased irritability, increased of energy, rapid speech, racing thoughts, increase in sexual drive, reckless behaviour. Not severe enough to make occupational imapirment functioning. 3. Depressive: depressed mood, decreased interest in activities during the day, nearly everyday for at least 2 weeks, difficult concentrating, feeling worthlessness, inappropriate guilt, hopelessnessm thoughts of death or suicide, appetite or sleep changes , reduced energy or fatigue. Mixed: Presence of several manic and several depressive episodes, which ocuur simultaneously or alternate rapidly (day to day or in the same day) it most be present for most of the day, every day fo rat least 2 weeks.
Bipolar type II disorder characteristics:	One or more hypomanic episodes and at least one depressive episode. Hypomanic: Persisten elvation of mood, irritability, increased activity, increased energy, talkativeness, rapid thoughts, increased self.esteem, reckless behaviour. Not marked impairment functioning. Depressive episode.
Bipolar type II disorder severity specifiers:	1. Bipolar type II disorder, current hypomanic episode 2. Bipolar type II disorder , current depressive episode, mild 3, 4,5, y 6. Bipolar type II disorder , curent depressive episode, moderate or severe with or without psychotic symptoms 7. Bipolar type II disorder Current depressive episodem unespecified 8, 9, y10 . Bipolar type II disorder, currently in partial remission in most recent episode hypomanic or depressive or unespecified 11. Bipolar type II disorder, currently in full remission
Bipolar type II disorder clinical features specifiers:	1. with prominet anxiety symptoms 2. with anick attacks 3. current depressive episode persistent 4. current depressive episode with melancholia 5. with seasonl patterns 6. with rapid cycling 7 y 8 . associated with pregnancy, childbirth or the puerperium, without or with psychotic symptoms
Bipolar type II disorder differential diagnosis;	1. cyclothymic disorder 2. ADHD 3. Schizophrenia or Other Primary Psychotic Disorders 4. Anxiety or fear-related disorders 5. Personality disorder 6. Oppositional Defiant Disorder 7. Substance-induced Mood disorder 8. Other mental disorders 9. Secondary mood syndrome
Cyclothymic disorder diagnostuc requierments	1. Mood instability for at least 2 years, characterized by numerous hypomanic and depressive periods 2. Mood symptoms are present more days than not. Never had any prolonged symptom-free periods (2 months or more). 3. No manic or mixed episodes 4. At least for 2 years and non symptoms met depresive episode criteria 5. Not associated with medical conditions 6. Significant distress because of symptoms
Cyclothymic disorder differential diagnosis:	1. Single episode depressive disorder and recurrent depressive episode 2 Y 3 . Bipolar Type I disorder TYpe II 4. ADHD 5. Oppositional Defiant Disorder 6. Personality Disorder 7. Secondary mood syndrome 8. substance-induced mood disorder
Generalised anxiety disorder diagnostic requierments:	1. Anxitey symptoms:general apprenhesiveness and excessive worry about negatoive events ocurring 2. Symptoms like: muscle tension, sympathetic autonomic overactivity as evidenced by frequent gastrointestinal symptoms, heart palpitations, sweating, dry mouth, irritability, difficult concentrating, subjective nervousness, restlessness, sleep disturbance 3. symptoms have lasted for several months, and for more days than not 4. Symptoms not related to other mental disorder 5. Not medical condition 6, Significant distress because of symptoms
Generalised anxiety disorder differential diagnosis:	1. Panic disorder 2. Social Anxiety Disorder 3. Separation Anxiety disorder 4. Dperessive disorder 5. Adjustment disorder 6. Obsessive-compulsive disorder 7. Hypochondriasis and bodily distress disorder 8. PTSD
Panic disorder diagnostic disorder requierments:	1. Recurrent panic attacks with intense fear or apprehension 2. Symptoms - Sweating - Chest pain - Palpitations or increased heart rate - Feeling of choking -Chills - Dizziness or ligh headedness - Fear of losing control - Tingling or lack or sensation in extremities 3. Some panic attack are unexpected 4. Panic attacks are followe with concern or worry about their recurrence, behaviour to avoid them 5. They are not limited with anxiety-provoking situations in another mental disorder 6. Not medical condition 7. Significant impairment cause of symptoms
Panic disorder differential diagnosis:	1. Generalized Anxiety disorder 2. Agoraphobia 3. Depressive disorder 4. Hypochondriasis 5. Oppositional Defiant Disorder 6. Other mental behavioural or neurodevelopmental disorder
Agoraphobia diagnostic requierments:	1. Excessive fear or anxiety that ocuurs in or in anticipation of multiple situations 2. individuals are consistently fearful or anxious due to fear of negative outcomes (panic attacks) 3. Situations are avoided and are entered only under specific circumstances 4. Symptoms are extended for a long period of time 5. Not related with other mental disorder 6. Significant distress cause of symptoms
Agoraphobia differential diagnosis	1. Panic disorder 2. Specific phobia 3. Socail Anxiety disorder 4. Separation anxiety disorder 5. Schizophrenia or Other Primary Psychotic 6. Depressive disorder 7. PTSD 8. Oppositional Defiant Disorder
Specif phobia diagnostic requierments:	1. Excessive fear or anxiety that occurs upon exposure or anticipation of exposure to one or more specific objects or situations 2. The phobic is avoided or endured with intense fear or anxiety 3. Pattern of fear, anxiety or avoidance related to an object or situations during at least for several months 4. No related to another mental disroder 5. Significant distress of symptoms or impairment in relationships
Specific phobia differential diagnosis:	1. Panic disorder 2. Agoraphobia 3. Social Anxiety disorder 4. Obssesive compulsive disorder 5. Hypochondriasis 6. PTSD AND CPTSD 7. Feeding or eating disorders 8. Oppositional defiant disorder
Social anxiety disorder diagnostic requierments	1. Excessive fear or anxiety that occurs in one or more social situations like social interactions, feeeling observed or performing in front of others 2. the person is concerned that they will act in a way or show anxiety symptoms and other will negatively evaluated by others 3. This social situations are avoided or are performed with intense fear or anxiety 4. This has been going around for several months 5. Not related to other mental disorders 6. Significant dsitress or social impairment
Social anxiety disorder differential diagnosis:	1. Generalized anxiety disorder 2. Panic disorder 3. Agoraphobia 4. Specific phobia 5. Selective mutism 6. Autism spectrum disorder 7. depressive disorder 8. Dysmorphic disorder 9. Olfactory reference disorder (social interactions are avoided because of bad smells) 10. Oppositional defiant disorder 11. Other mental or behavioural syndromes due to another medical condition
Separation anxiety disorder diagnostic requierments:	1. Excessive fera or anxiety about separtion from person that the person is attached 2. Manifestations: - Persistent thoughts that harm or some other untoward event will lead to separtion - Refusal to go to school - Excessive distress related to being separated from the attachment figure - Refusal to go to sleep withput being near to the attachment figure - Nightmares about separation - Physical symptoms like nausea, vomiting, stomach/headache that involes the separation from attcahemnt figure 2. This has been for several months 3. Not related to other mental disorders 4. Significnat distress cause of symptoms
Separation anxiety disorder differential diagnosis:	1. Generalized Anxiety Disorder 2. Panic disorder 3.Agoraphobia 4. Depressive disorder 5. PTSD 6. Disruptive behavior or dissocial disorders (behavior is not related to concerns fro the well-being of the attachment figure) 7. Personality disorder
Selctive mutism diagnostic requierments:	1. selectivity in speaking the child speaks in an adequate language at home but in other situations fails to speak to others 2. It is been for at least 1 month 3. It is not due to the lack of knowledge or comfor in language 4. Not related to other mental disorder 5. It is severe to a degree that it interferes with educational achievement or with social communication or imapirments in areas of functioning
Selective mutism differential diagnosis:	1. Developmenatl Speech and language disorders 2. Autism spectrum disorder and disorders od intellectual development 3. Social anxiety disorder 4. Schizophrenia or Other Primary Psychotic Disorders

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