In DSM-II, this category is called Major affective disorders (Affective psychoses)

This group of psychoses is characterized by a single disorder of mood, either extreme depression or elation, that dominates the mental life of the patient and is responsible for whatever loss of contact he has with his environment. The onset of the mood does not seem to be related directly to a precipitating life experience and therefore is distinguishable from Psychotic depressive reaction and Depressive neurosis.


Involutional melancholia

Manic-depressive illnesses (Manic-depressive psychoses)

  1. Manic-depressive illness, manic type (Manic-depressive psychosis, manic type)
  2. Manic-depressive illness, depressed typed (Manic-depressive psychosis, depressed type)
  3. Manic-depressive illness, circular type (Manic-depressive psychosis, circular type)

Other major affective disorder (Affective psychosis, other)

[Unspecified major affective disorder]

  1. [Affective disorder not otherwise specified]
  2. [Manic-depressive illness not otherwise specified]


In DSM-III, this category is called Affective Disorders


Major Affective Episodes

  1. Manic Episode
  2. Major Depressive Episode

Major Affective Disorders

  1. Bipolar Disorder
  2. Major Depression

Other Specific Affective Disorders

  1. Cyclothymic Disorder
  2. Dysthymic Disorder (or Depressive Neurosis)

Atypical Affective Disorders

  1. Atypical Bipolar Disorder
  2. Atypical Depression



Mood Episodes

  1. Major Depressive Episode
  2. Manic Episode
  3. Mixed Episode
  4. Hypomanic Episode

Depressive Disorders

  1. Major Depressive Disorder
  2. Dysthymic Disorder
  3. Depressive Disorder NOS

Bipolar Disorders

  1. Bipolar I Disorder
  2. Bipolar II Disorder
  3. Cyclothymic Disorder
  4. Bipolar Disorder NOS

Mood Disorder Due to a General Medical Condition

Substance-Induced Mood Disorder

Mood Disorder NOS

Recording Procedures

In recording the name of a diagnosis, terms should be listed in the following order:

  1. Name of disorder (e.g., Major Depressive Disorder, Bipolar Disorder)
  2. Course specifiers (e.g., Recurrent, Most Recent Episode Manic)
  3. Severity specifiers (e.g., Mild, Severe With Psychotic Features, In Partial Remission)
  4. As many specifiers as apply to the most recent episode (e.g., With Melancholic Features, With Postpartum Onset)
  5. As many specifiers as apply to the course of recurrent episodes (e.g., With Seasonal Pattern, With Rapid Cycling)

The following examples illustrate how to record a Mood Disorder diagnosis with specifiers:

  • Major Depressive Disorder, Recurrent, Moderate, With Atypical Features, With Seasonal Pattern, With Full Interepisode Recovery
  • Bipolar I Disorder, Most Recent Episode Depressed, Severe With Psychotic Features, With Melancholic Features, With Rapid Cycling


In DSM-5, this category is separated into Depressive Disorders and Bipolar and Related Disorders

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