DSM-111-R Criteria for Melancholia

DSM-111-R Criteria for Melancholia The presence of at least five of the following:

1. Loss of the interest or pleasure in all or almost all activities.
2. Lack of reactivity to usually pleasurable stimuli (does not feel much better even temporarily, when something good happens).
3. Depression regularly worse in the morning.
4. Early morning awaking (at least two hours before usually time).
5. Psychomotor retardation or agitation (not merely subjective complaints).
6. Significant anorexia or weight lost (e.g., more than 5% of body weight in a month).
7. No significant personally disturbance before fist major depressive episode.
8. One or more previous major depressives episodes followed by a complete, or early complete recovery.
9. Previous good response to specific and adequate somatic antidepressant therapy.

DSM-111-R Criteria for Melancholia