ah, life with the DSM-V

The DSM-V has combined dysthymia with chronic major depressive disorder and came up with a new name – persistent depressive disorder – and a list of symptoms of which I have every. stinkn’. one.

Looks like this:

This disorder represents a consolidation of DSM-IV-defined chronic major depressive disorder and dysthymic disorder.

A. Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years.  Note: In children and adolescents, mood can be irritable and duration must be at least 1 year.

B. Presence, while depressed, of two (or more) of the following:
1. Poor appetite or overeating(Seems like the least my brain could do is let me have the poor appetite, but noooooo.)
2. Insomnia or hypersomnia.
3. Low energy or fatigue.
4. Low self-esteem.
5. Poor concentration or difficulty making decisions.
6. Feelings of hopelessness.

C. During the 2-year period (1 year for children or adolescents) of the disturbance, the individual has never been without the symptoms in Criteria A and B for more than 2 months at a time.

D. Criteria for a major depressive disorder may be continuously present for 2 years.

E. There has never been a manic episode or a hypomanic episode, and criteria have never been met for cyclothymic disorder.

F. The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder.

G. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g., hypothyroidism).

H. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Note: Because the criteria for a major depressive episode include four symptoms that are absent from the symptom list for persistent depressive disorder (dysthymia), a very limited number of individuals will have depressive symptoms that have persisted longer than 2 years but will not meet criteria for persistent depressive disorder. If full criteria for a major depressive episode have been met at some point during the current episode of illness, they should be given a diagnosis of major depressive disorder. Otherwise, a diagnosis of other specified depressive disorder or unspecified depressive disorder is warranted.

from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition
(Copyright © 2013). American Psychiatric Association. All Rights Reserved.

Add a little Post-Traumatic Stress Disorder (ooops, tipped my hand, A LOT of PTSD), sprinkle some migraines, and you have my mental health battles. I feel better knowing the diagnosis, and I feel better knowing I am currently taking meds and doing therapy to help deal with these things. I’m really tired, though, of people who think they are allies jumping on the “oh, you don’t REALLY need medication” train. You think that because you look at how I act ON medication, and (falsely) extrapolate that I don’t really need medication. No. You will never see me when I’m not on medication, or when it’s not working, because I hole up in my room, for my safety and the world’s. Heh. I laugh, but it’s true.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s