- Depressed mood for most of the day during a 2 year period (1 year for children and adolescents), presence of depressed mood. Note: In children or adolescents, mood can be irritable and duration must be at least 1 year.
- Symptoms cause clinically significant distress in social, occupational, and other important areas of functioning.
- Presence of two or more of the following:
- Decreased or increased appetite
- Insomnia or hypersomnia
- Anergia or chronic fatigue
- Anhedonia
- Poor concentration or difficulty making decisions
- feelings of hopelessness and despair
4. The symptoms are not related to a major depressive episode, a bipolar disorder, a psychotic disorder, the physiologic effects of any substances, or general medical condition.
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