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Chapter V

Depressive episode - F32


In typical mild, moderate, or severe depressive episodes, the patient suffers from lowering of mood, reduction of energy, and decrease in activity. Capacity for enjoyment, interest, and concentration is reduced, and marked tiredness after even minimum effort is common. Sleep is usually disturbed and appetite diminished. Self-esteem and self-confidence are almost always reduced and, even in the mild form, some ideas of guilt or worthlessness are often present. The lowered mood varies little from day to day, is unresponsive to circumstances and may be accompanied by so-called "somatic" symptoms, such as loss of interest and pleasurable feelings, waking in the morning several hours before the usual time, depression worst in the morning, marked psychomotor retardation, agitation, loss of appetite, weight loss, and loss of libido. Depending upon the number and severity of the symptoms, a depressive episode may be specified as mild, moderate or severe.
    Includes:
  • single episodes of:
  • depressive reaction
  • psychogenic depression
  • reactive depression
    Excludes:
  • adjustment disorder ( F43.2 )
  • recurrent depressive disorder ( F33.- )
  • when associated with conduct disorders in F91.- ( F92.0 )
F32.0 Mild depressive episode
Two or three of the above symptoms are usually present. The patient is usually distressed by these but will probably be able to continue with most activities.
F32.1 Moderate depressive episode
Four or more of the above symptoms are usually present and the patient is likely to have great difficulty in continuing with ordinary activities.
F32.2 Severe depressive episode without psychotic symptoms
An episode of depression in which several of the above symptoms are marked and distressing, typically loss of self-esteem and ideas of worthlessness or guilt. Suicidal thoughts and acts are common and a number of "somatic" symptoms are usually present.
single episode without psychotic symptoms:
Agitated depression
Major depression
Vital depression
F32.3 Severe depressive episode with psychotic symptoms
An episode of depression as described in F32.2, but with the presence of hallucinations, delusions, psychomotor retardation, or stupor so severe that ordinary social activities are impossible; there may be danger to life from suicide, dehydration, or starvation. The hallucinations and delusions may or may not be mood-congruent.
Single episodes of:
  • major depression with psychotic symptoms
  • psychogenic depressive psychosis
  • psychotic depression
  • reactive depressive psychosis
  • F32.8 Other depressive episodes
    Atypical depression
    Single episodes of "masked" depression NOS
    F32.9 Depressive episode, unspecified
    Depression NOS
    Depressive disorder NOS


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