Unspecified Mood Disorder
In the upcoming text revision of the fifth edition of the Diagnostic and Statistical Manual of Mental
Disorders (DSM-5-TR), the category "unspecified mood disorder" is being restored. It will be applied
to presentations that do not meet criteria for any specific mood disorder and in which it is difficult to
choose between an unspecified depressive disorder and an unspecified bipolar disorder.
Rationale for Change
The removal of unspecified mood disorder from DSM-5 was an unintentional byproduct of the
decision to eliminate the mood disorders diagnostic class from DSM-5 in favor of making bipolar
disorders and depressive disorders top-level diagnostic classes (i.e., at the same level as
neurodevelopmental disorders, anxiety disorders, etc.). Because of the absence of a mood disorders
grouping in DSM-5 and DSM-5-TR, unspecified mood disorder is located within both the depressive
disorders and the bipolar disorders chapters. That makes DSM-5-TR more compatible with both
ICD-10-CM as well as ICD-11, which also includes this category. It also provides clinicians with a more
accurate and less stigma-prone diagnosis for these kinds of mixed presentations.
The unspecified mood disorder applies to presentations in which symptoms predominate that are
characteristic of a depressive disorder and cause clinically significant distress or impairment in social,
occupational, or other important areas of functioning. However, these symptoms do not meet the full
criteria for any of the disorders in the depressive disorders diagnostic class, adjustment disorder with
depressed mood, or adjustment disorder with mixed anxiety and depressedmood. The category is
used in situations in which the clinician chooses not to specify the reason that the criteria are not met
for a specific depressive disorder and includes presentations for which there is insufficient
information to make a more specific diagnosis (e.g., in emergency room settings).
DSM is the manual used by clinicians and researchers to diagnose and classify mental disorders. The American Psychiatric
Association (APA) will publish DSM-5-TR in 2022.
APA is a national medical specialty society whose more than 37,400 physician members specialize in the diagnosis,
treatment, prevention, and research of mental illnesses, including substance use disorders. Visit the APA at
www.psychiatry.org. For more information, please contact APA Communications at 202-459-9732 or firstname.lastname@example.org.
? 2022 American Psychiatric Association
What is the DSM criteria for anxiety disorder? Restlessness or feeling keyed up or on edge Being easily fatigued Difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance (difficulty falling or staying asleep, or restless unsatisfying sleep)
Title: Unspecified mood disorder
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