A disorder characterized by repeated episodes of depression as described for depressive episode (F32.-), without any history of independent episodes of mood elevation and increased energy (mania). There may however, be brief episodes of mild mood elevation and overactivity (hypomania) immediately after a depressive episode, sometimes precipitated by antidepressant treatment. The more severe forms of recurrent depressive disorder (F33.2 and F33.3) have much in common with earlier concepts such as manic-depressive depression, melancholia vital depression and endogenous depression. The first episode may occur at any age from childhood to old age, the onset may be either acute or insidious, and the duration varies from a few weeks to many months. The risk that a patient with recurrent depressive disorder will have an episode of mania never disappears completely, however many depressive episodes have been experienced. If such an episode does occur, the diagnosis should be changed to bipolar affective disorder (F31 .-).
Includes: recurrent episodes of:
. depressive reaction
. psychogenic depression
. reactive depression
seasonal depressive disorder
Excludes: recurrent brief depressive episodes (F38.1)
F33.0
Recurrent depressive disorder, current episode mild
A disorder characterized by repeated episodes of depression, the current episode being mild, as in F32.0, and without any history of mania.
F33.1
Recurrent depressive disorder, current episode moderate
A disorder characterized hy repeated episodes of depression, the current episode being of moderate severity, as in F32.1, and without any history of mania.
F33.2
Recurrent depressive disorder, current episode severe without psychotic symptoms A disorder characterized by repeated episodes of depression, the current episode being severe without psychotic symptoms, as in F32.2, and without any history of mania.
Endogenous depression without psychotic symptoms
Major depression, recurrent without psychotic symptoms
Manic-depressive psychosis, depressed type without psychotic symptoms
Vital depression, recurrent without psychotic symptoms
F33.3
Recurrent depressive disorder, current episode severe with psychotic symptoms
A disorder characterized by repeated episodes of depression, the current episode being severe with psychotic symptoms, as in F32.3, and with no previous episodes of mania.
Endogenous depression with psychotic symptoms
Manic-depressive psychosis, depressed type with psychotic symptoms
Recurrent severe episodes of:
. major depression with psychotic symptoms
. psychogenic depressive psychosis
. psychotic depression
. reactive depressive psychosis
F33.4
Recurrent depressive disorder, currently in remission
The patient has had two or more depressive episodes as described in F33.0-F33.3, in the past, but has been free from depressive symptoms for several months.
F33.8
Other recurrent depressive disorders
F33.9
Recurrent depressive disorder, unspecified
Monopolar depression NOS
