Private psychiatric practice
with Cabinet for psychotherapy
Dr. Sandic
Tel.: ++ 387 33 645 112
Depression
(F33) Recurrent depressive disorder
Persons who suffer from this kind of mood disorder experience repeated episodes of depression (mild, moderate and/or severe). In regards of the estimated age of population susceptible to its occurrence, severity of the disorder, length of its duration as well as frequency in occurrence it is needed to note that those all show varieties. However, first episode of recurrent depressive disorder most commonly affects people in the fifth decade. In average, single episodes last for about six months. Between them psychic recovering of the individual is usually complete. It is important to note that, most commonly, the precipitating factor for the burst out of the depressive episode is a stressful life event.
Recurrent depressive disorder is classified in accordance with the pathological symptoms, expressed on a side of the patient, who mark the current episode. If data about the former depressive episodes are present, this is also included in the diagnostic procedure.
a) Recurrent depressive disorder, current episode mild
Essential traits:
1. Criteria for the recurrent depressive disorder must be met. Current psychopathological symptomatology is in accordance with criteria for identifying depressive episode of the mild intensity.
2. At least two depressive episodes have lasted during at least two weeks. Between those there was a period of at least several months during which the patient did not express any signs that would indicate an affective disorder.
b) Recurrent depressive disorder, current episode moderate
Essential traits:
1. Criteria for the recurrent depressive disorder must be met. Current psychopathological symptoms are in accordance with criteria established for identifying depressive episode of the moderate intensity.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a period of at least several months during which the patient did not express disturbances that would indicate a mood disorder.
c) Recurrent depressive disorder, current episode severe, without psychotic symptoms
Essential traits:
1. As in other recurrent depressive disorders, criteria for the recurrent depressive disorder must be met. Current psychopathological symptoms expressed by the patient fall within the range of severe depressive episode, yet without expression of any psychotic phenomena.
2. At least two depressive episodes have lasted during at least two weeks. Between those there was a time period lasting at least several months during which the patient did not express signs that would indicate the presence of an affective disorder.
d) Recurrent depressive disorder, current episode severe, with psychotic symptoms
Essential traits:
1. It is necessary that the criteria for the recurrent depressive disorder are met. Current psychopathological symptomatology clearly indicate the presence of severe depressive episode with psychotic symptoms.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a time period of at least several months during which the patient did not express disturbances that would indicate a mood disorder.
e) Recurrent depressive disorder, currently in remission
Essential traits:
1. Earlier criteria for establishing diagnosis of the recurrent depressive disorder were clearly met. However, psychic status praesens does not meet the criteria for a depressive episode, or any other mood disorder.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a time period of at least several months during which the patient did not express any signs that would indicate the presence of a mood disorder.
Manic episode
Bipolar affective disorder
Depressive episode
Recurrent depressive disorder
Persistent mood disorders
Persons who suffer from this kind of mood disorder experience repeated episodes of depression (mild, moderate and/or severe). In regards of the estimated age of population susceptible to its occurrence, severity of the disorder, length of its duration as well as frequency in occurrence it is needed to note that those all show varieties. However, first episode of recurrent depressive disorder most commonly affects people in the fifth decade. In average, single episodes last for about six months. Between them psychic recovering of the individual is usually complete. It is important to note that, most commonly, the precipitating factor for the burst out of the depressive episode is a stressful life event.
Recurrent depressive disorder is classified in accordance with the pathological symptoms, expressed on a side of the patient, who mark the current episode. If data about the former depressive episodes are present, this is also included in the diagnostic procedure.
a) Recurrent depressive disorder, current episode mild
Essential traits:
1. Criteria for the recurrent depressive disorder must be met. Current psychopathological symptomatology is in accordance with criteria for identifying depressive episode of the mild intensity.
2. At least two depressive episodes have lasted during at least two weeks. Between those there was a period of at least several months during which the patient did not express any signs that would indicate an affective disorder.
b) Recurrent depressive disorder, current episode moderate
Essential traits:
1. Criteria for the recurrent depressive disorder must be met. Current psychopathological symptoms are in accordance with criteria established for identifying depressive episode of the moderate intensity.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a period of at least several months during which the patient did not express disturbances that would indicate a mood disorder.
c) Recurrent depressive disorder, current episode severe, without psychotic symptoms
Essential traits:
1. As in other recurrent depressive disorders, criteria for the recurrent depressive disorder must be met. Current psychopathological symptoms expressed by the patient fall within the range of severe depressive episode, yet without expression of any psychotic phenomena.
2. At least two depressive episodes have lasted during at least two weeks. Between those there was a time period lasting at least several months during which the patient did not express signs that would indicate the presence of an affective disorder.
d) Recurrent depressive disorder, current episode severe, with psychotic symptoms
Essential traits:
1. It is necessary that the criteria for the recurrent depressive disorder are met. Current psychopathological symptomatology clearly indicate the presence of severe depressive episode with psychotic symptoms.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a time period of at least several months during which the patient did not express disturbances that would indicate a mood disorder.
e) Recurrent depressive disorder, currently in remission
Essential traits:
1. Earlier criteria for establishing diagnosis of the recurrent depressive disorder were clearly met. However, psychic status praesens does not meet the criteria for a depressive episode, or any other mood disorder.
2. At least two depressive episodes have lasted during at least two weeks. Between those there must have been a time period of at least several months during which the patient did not express any signs that would indicate the presence of a mood disorder.
Manic episode
Bipolar affective disorder
Depressive episode
Recurrent depressive disorder
Persistent mood disorders