Chapter 5.Mood Disorders
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Excerpt
Clinical entities listed as mood disorders in DSM-5 (American Psychiatric Association 2013) relevant to depression in elderly patients include 1) bipolar disorder, 2) major depressive disorder (with or without psychotic features), and 3) persistent depressive disorder (dysthymia). Of note, two key changes in DSM-5 pertinent to older adults are elimination of minor depression from the appendix and elimination of the bereavement exclusion criterion for major depression. In a helpful addition, the DSM-5 major depression criteria now include a “note” on the relationship between depressive symptoms and response to significant loss. Depressive symptoms are likewise present in other DSM-5 disorders, such as adjustment disorder with depressed mood and mood disorder due to a general medical condition (see Table 5–1).
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