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Melancholic features is a term that is used to describe a major depressive episode where someone has almost completely lost the ability to experience pleasure

Melancholic features in the DSMEdit

The DSM uses melancholic features to describe a major depressive episode that has at least one of the following:

  • a distinctly depressed mood
  • depression is regularly worse in the morning
  • awakening at least 2 hours earlier than normal
  • significant physical slowing or agitation
  • significant anorexia or weight loss
  • excessive or inappropriate guilt


Mood disorders as diagnosed by the DSM edit
Mood episodes: Major depressive episode Manic episode Mixed episode Hypomanic episode

Depressive disorders: Major depressive disorder Dysthymic disorder Depressive disorder NOS (PMDD)

Bipolar disorders: Bipolar I disorder Bipolar II disorder Cyclothymic disorder Bipolar disorder NOS

Other mood disorders: Mood disorder due to a general medical condition Substance-induced mood disorder Mood disorder NOS

Episode specifiers: Severity Psychotic Remission Chronic Catatonic Melancholic Atypical Postpartum

Course specifiers: Longitudinal Seasonal (SAD) Rapid cycling

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