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Depressed or irritable for at least 2 years (one year for
children and adolescents)
Absence of a Major Depressive Episode during the first 2 years of
this depressed mood (one year for children and adolescents) LI
Absence of months of nondepressed mood during the worst 2 years
of this depression (one year for children and adolescents) LI
At least 2 of the following:
- Poor appetite or overeating during this prolonged depression
- Insomnia or hypersomnia during this prolonged depression
- Low energy or fatigue during this prolonged depression
- Low self-esteem during this prolonged depression
- Poor concentration or difficulty making decisions during this
prolonged depression
- Feelings of hopelessness during this prolonged depression
Has never had a Manic Episode or an unequivocal Hypomanic Episode
Absence of delusions or hallucinations for at least two weeks in
the absence of prominent mood symptoms
Not superimposed on a chronic psychotic disorder, such as
Schizophrenia or Delusional Disorder
Absence of evidence that an organic factor initiated and
maintained this prolonged depression
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