According to the DSM-5, when is depression with melancholic features applicable?

Updated: Mar 28, 2019
  • Author: Jerry L Halverson, MD; Chief Editor: David Bienenfeld, MD  more...
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Answer

According to DSM-5, this subtype is applied only when there is a near-complete absence of the capacity for pleasure, not merely a diminution. A depressed mood that is described as merely more severe, longer lasting or present without a reason is not considered a distinct quality. Melancholic features are more frequent in inpatients and are less likely to occur in milder major depressive episodes. They are also more likely to be comorbid with psychotic features.


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