A. Three or more of the following symptoms, present during the same two-week period, and representing a change from a previous level of functioning. Either item one or item two must be included: |
1. Clinically significant depressed mood |
2. Decreased positive affect or pleasure in response to social contacts and usual activities |
3. Social isolation or withdrawal |
4. Disturbed appetite |
5. Disturbed sleep |
6. Psychomotor retardation or agitation |
7. Irritability |
8. Fatigue or loss of energy |
9. Feelings of worthlessness, hopelessness, or inappropriate guilt |
10. Recurrent thoughts of death or suicidal ideation, plan, or any attempt |
B. Meets criteria for Alzheimer-type dementia |
C. Depressive symptoms cause clinically significant distress or disruption in function |
D. Symptoms do not occur exclusively during an episode of delirium |
E. Symptoms are not due to a direct physiologic effect from a substance (medication or drug of abuse) |
F. Symptoms are not better accounted for by another condition |
Specify if: |
Co-occurring onset: onset antedates or co-occurs with AD symptoms |
Post-AD onset: onset occurs after AD diagnosis |
Specify if: |
With psychosis of AD |
With other significant behavioral signs or symptoms |
With past history of mood disorder |
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