Specifiers describing the clinical status of current or most recent mood Episode general info Mild Moderate Severe w psychotic features Severe w o psychotic features Partial remission Full Remission Major Depressive Episode MDE Specific Specifier Mild x1 Few if any symptoms in excess of those required to make the diagnosis and symptoms result in only minor impairment in occupational functioning or in usual social activities or relationships with others Major Depressive Episode MDE Specific Specifier Moderate x2 Symptoms or functional impairment between mild and severe Major Depressive Episode MDE Specific Specifier Severe w o psychotic features x3 Several symptoms in excess of those required to make the diagnosis and symptoms markedly interfere with occupational functioning or with usual social activities or relationships with others Major Depressive Episode MDE Specific Specifier Severe w psychotic features x4 Delusions or hallucinations If possible specify lether the psychotic features are mood congruent or mood incongruent Mood Congruent Psychotic Features MDE Delusions or hallucinations whose content is entirely consistent with the typical depressive themes of personal inadequacy guilt disease death nihilism or deserved punishment Mood Incongruent Psychotic features MDE Delusions or hallucinations whose content does not involve typical depressive themes of personal inadequacy guilt disease death nihilism or deserved punishment Included are such symptom as persecutory delusions not directly related to depressive themes thought insertion thought broadcasting and delusions of control Major Depressive Episode MDE Specific Specifier Partial remission x5 Symptoms of a Major Depressive Episode are present but full criteria are not met or there is a period without any significant symptoms of a Major Depressive Episode lasting less than 2 months following the end of the Maior Depressive Episode If the Major Depressive Episode was superimposed on Dysthymic Disorder the diagnosis of Dysthymic Disorder alone is given once the full criteria for a Major Depressive Episode are no longer met Major Depressive Episode MDE Specific Specifier Full remission x6 During the past 2 months no significant signs or symptoms or the disturbance were present Major Depressive Episode MDE Specific Specifier unspecified x0 no information given in DSM IV TR Manic Episode Specific Specifier Mild x1 Minimum symptom criteria are met for a Manic Episode Manic Episode Specific Specifier Moderate x2 Extreme increase in activity or impairment in judgment Manic Episode Specific Specifier Severe w o psychotic features x3 Almost continual supervision required to prevent physical harm to self or others Manic Episode Specific Specifier Severe w psychotic features x4 Delusions or hallucinations If Possible specify whether the psychotic features are mood congruent or mood incongruent Mood Congruent Psychotic Features Manic Delusions or hallucinations whose connt is entirely consistent with the typical manic themes of inflated worth power knowledge identity or special relationship to a deity or famous person Mood Incongruent Psychotic Features Manic Delusions or hallucinations whose content does not involve typical manic themes of inflated worth power knowledge identity or special relationship to a deity or famous person Included are such symptoms as persecutory delusions not directly related to grandiose ideas or themes thought insertion and delusions of being controlled Manic Episode Specific Specifier Partial remission x5 Symptoms of a Manic Episode are present but full criteria are not met or there is a period without any significant symptoms of a Manic Episode lasting less than 2 months following the end of the Manic Episode Manic Episode Specific Specifier Full remission x6 During the past 2 months no significant signs or symptoms of the disturbance were present Mixed Episode Specific Specifier Mild x1 No more than minimum symptom criteria are met for both a Manic Episode and a Major Depressive Episode Mixed Episode Specific Specifier Moderate x2 Symptoms or functional impairment between mild and severe Mixed Episode Specific Specifier Severe w o psychotic features x3 Almost continual supervision required to prevent physical harm to self or others Mixed Episode Specific Specifier Severe w psychotic features x4 Delusions or hallucinations If possible specify whether the psychotic features are mood congruent or mood incongruent Mood Congruent Psychotic Features Manic Delusions or hallucinations whose connt is entirely consistent with the typical manic or de fessive themes Mood Incongruent Psychotic Features Manic Delusions or hallucinations whose content does not involve typical manic or depressive themes Included are such symptoms as persecutory delusions not directly related to grandiose or depressive themes thought insertion and delusions of being controlled Manic Episode Specific Specifier Partial remission x5 Symptoms of a Mixed Episode are present but fun criteria Ire not met or there is a period without any significant symptoms of a Mixed Episode last9 less than 2 months following the end of the Mixed Episode Manic Episode Specific Specifier Full remission x6 During the past 2 months no significant signs or symptoms of the disturbance were present Specifiers describing features of the current episode or most recent episode if currently in partial or full remission Chronic Catatonic Features Melancholic Features Atypical Features Postpartum Onset Chronic Can be applied to the current or most recent Major Depressive Episode in Major Depressive Disorder and to a Major Depressive Episode in Bipolar I or II Disorder only if it is the most recent type of mood episode Full criteria for a Major Depressive Episode have been met continuously for at least the past 2 years Specifiers Describing Course of recurrent Episodes Longitudinal Course Specifiers Seasonal Pattern Rapid Cycling