Diagnostic Criteria

  • Persistent depressive depressive disorder is defined by having major depressive disorder for at least 2 years
    • A. Depressed mood for most of the day for at least 2 years
    • B. Presence of ≥2 of the following:
      • Poor appetitie or overeating
      • Insomnia or hypersomnia
      • Low energy or fatigue
      • Low self esteem
      • Poor concentration or difficulty making decisions
      • Feelings of hopelessness
    • C. Has never been without (A. or B.) for more than 2 months at a time
    • D. Criteria for mood disorder has been present for 2 years
    • E. Has never been a manic or hypomanic episode
    • Symptoms are not attributable to the physiological effects of a substance or another medical condition and not better explained by a psychotic disorder or delusional disorder.
    • Symptoms only need to be present for 1 year in children and adults