Criteria for Atypical Features Specifier
(cautionary statement)
Specify if:
With Atypical Features (can be applied when these features predominate during the most recent 2 weeks of a
Major Depressive Episode in Major Depressive Disorder
or in Bipolar I or Bipolar II Disorder
when the Major Depressive Episode is the most recent type of mood episode, or when these features predominate during the most recent 2 years of
Dysthymic Disorder)
A. Mood reactivity (i.e., mood brightens in response to actual or potential positive events)
B. Two (or more) of the following features:
(1) significant weight gain or increase in appetite
(2) Hypersomnia
(3) leaden paralysis (i.e., heavy, leaden feelings in arms or legs)
(4) long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment
C. Criteria are not met for With Melancholic Features or With Catatonic Features
during the same episode.
Reprinted with permission from the Diagnostic
and Statistical Manual of Mental Disorders, fourth Edition. Copyright 1994 American
Psychiatric Association
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