DANG SPECS

SYMPTOMS
5 OR MORE SYMPTOMS FOR AT LEAST 2
Sadness, Interest loss, Guilt or
WEEKS
5
worthlessness, Energy loss,
MILD 2-3 SX
“SIG E CAPSS”
[PRESENT DURING THE SAME 2 WEEK PERIOD AND
Concentration loss, Appetite change,
REPRESENT A CHANGE FROM PREVIOUS FUNCTIONING; AT
Psychomotor agitation or retardation, LEAST ONE OF THE SYMPTOMS IS EITHER 1) DEPRESSED
Sleep change, Suicidal thoughts] MOOD OR 2) LOSS OF INTEREST OR PLEASURE]
MODERATE 4 + SX
DIFFERENTIAL DX
Manic Episodes with Irritable Mood SEVERE
or Mixed, Mood Disorder Due to
Another Medical Condition, ADHD, SIGNIFICANT DISTRESS OR IMPAIRMENT

Substance/Medication Induced
Depressive, Bipolar, Adjustment
MAJOR DEPRESSIVE IN SOCIAL, OCCUPATIONAL, OR OTHER
AREAS OF FUNCTIONING

Disorder with Depressed Mood,

Sadness
DISORDER

Major Depressive Disorder, single

ASSESSMENTS episode
The Millon INTERVENTIONS Major Depressive Disorder, recurrent
- repeated episodes of depression
Beck Hopelessness Scale
Brief Psychiatric Rating Scale w/o any hx of independent episodes
Carroll Depression Scale of mania. At least 1 previous episode
Decatastrophizing Meaning Making Bibliotherapy
Beck Depression Inventory lasting a minimum of 2 weeks and
Encouraging Empathic Confrontation CBT
Burns Depression Checklist separated by the current episode of
Mindfulness Psychoeducation Self-Monitoring
Minnesota Multiphasic 2 WEEK Stress-Inoculation Techniques Relaxation
at least 2 months. No past hypomanic
or manic episodes.
Personality Inventory
Hamilton Rating Scale
DURATIION Techniques Medication Management Behavior
Activation Therapy
Structured Clinical Interview
for DSM
 sleep change,
hopelessness, appetite
SYMPTOMS
change, low selfesteem,
concentration loss
2 YEARS, 1 2 OR 1. LOW ENERGY OR FATIGUE
DIFFERENTIAL DX YEAR
MORE SX, WHILE
2. LOW SELF ESTEEM

CHILD/ADOL
SCHIZOAFFECTIVE DISORDER, DEPRESSED 3. POOR APPETITE OR OVEREATING
4. INSOMNIA OR HYPERSOMNIA
SUBSTANCE/MEDICATION-INDUCED
DEPRESSIVE OR BIPOLAR DISORDER
MAJOR DEPRESSIVE DISORDER PSYCHOTIC
DISORDER DEPRESSIVE OR BIPOLAR AND 5. POOR CONCENTRATION OR
RELATED DISORDER DUE TO ANOTHER DIFFICULTY MAKING DECISIONS
MEDICAL CONDITION
SUBSTANCE/MEDICATION INDUCED
DEPRESSIVE OR BIPOLAR DISORDER PERSISTENT DEPRESSIVE 6. FEELINGS OF HOPELESSNESS
PERSONALITY DISORDER (CHRONIC: LOW
SELF-ESTEEM, DEPENDENCY, PESSIMISM, DISORDER (DYSTHYMIA
RELATIONSHIP DIFFICULTIES)

a depressed mood that INTERVENTIONS

ASSESSMENTS
occurs for most of the day,
AUDIT, Burns Depression Checklist,
for more days than not Cognitive restructuring Bibliotherapy
IPAT Depression Scale, State-Trait
Anxiety Inventory, Beck Depression Group therapy Active listening
Inventory-II, Minnesota Multiphasic Involvement in the community Guided
Personality Inventory-2, Fear Imagery Journaling Shame-Attacking
Questionnaire, The Millon, Carroll Exercises CBT
Depression Scales, Mental Status Exam,
Cognitive Restructuring Modeling
Millon Multiaxial Clinical Inventory, Beck
Hopelessness Scale Rehearsal Role playSelf-Monitoring
Zung Self-Rating Depression Scale,
Never 2 months symptom free in Problem Solving Mindfulness
PROMIS Short Form for Depression years Medication Referral
Hamilton Rating Scale
Improving Social Relationships
Structured Clinical Interview for DSM Significant distress or Interpersonal Therapy
impairment Behavioral Activation
(not better explained by
OUT OF PROPORTION TO
mania, depression, autism, BEFORE AGE 10,
CONTEXT
substance abuse, etc) SX FOR 12 3 OR MORE PER
MONTHS WEEK; PERSISTS MORE BEGAN AS CHILD (6-18)
DIFFERENTIAL DX THAN A YEAR
o ODD, Intermittent Explosive
PERSISTENT IRRITABILITY
Disorder
o ADHD
o Bipolar Disorders
o Autism
o MDD
o Anxiety Disorders
DISRUPTIVE MOOD
DYSREGULATION DISORDER

ASSESSMENTS o Family Therapy

o Behavior Therapy
o Child Behavior Checklist o Behavior Plan
o Vanderbilt Diagnostic
Rating Scales
CRITERIA: o Family Counseling
o Parent Management Training
o Connors Rating Scale o CBT
o Behavior Assessment Severe recurrent temper o Family Issues Group
System for Children (BASC) o Anger Management Group
outbursts (verbal or physical) o Behavior Therapy
o Columbia Diagnostic
Interview Schedule for Observable by others o Parent Psychoeducation
Children (DISC)
At least 5 total: mood swings, irritability/anger, SYMPTOMS
sadness, anxiety/tension, loss of interest, poor
concentration, fatigue, AFFECT LABILITY - MOOD
appetite change, sleep change, overwhelmed, SWINGS
physical symptoms (breast ATLEAST 1 OF THE
tenderness, bloating, pain, weight gain)
FOLLOWING IRRITABILITY/ANGER

DIFFERENTIAL DX
ANXIETY/TENSION
o Premenstrual Syndrome
o Dysmenorrhea
o Bipolar Disorder DEPRESSED MOOD,
o MDD PREMENSTRUAL HOPELESSNESS
o Persistent Depressive Disorder
o Use of Hormonal Treatments DYSPHORIC DISORDER
INTERVENTIONS

o Medication Management
ASSESSMENTS o CBT
o Cognitive Restructuring
CRITERIA: o Psychoeducation
o Mood Charts for a
Symptoms present one week o Decatastrophizing
minimum of 2 months
o Reframing
o Beck Depression Scale prior to menses
o Premenstrual Tension o Homework
At least 2 prior menstrual cycles
Rating Scales o Reattribution
o Decentering