• Document: Depression, Major. The Medical Disability Advisor: Workplace Guidelines for Disability Duration
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Sample Topic Depression, Major The Medical Disability Advisor: Workplace Guidelines for Disability Duration Fifth Edition Presley Reed, MD Editor-in-Chief The Most Widely-Used Duration Guidelines in the Industry Adopted in the US and in 38 other Countries The Comprehensive Evidence-Based Return-to-Work Reference Available in Four Formats (Internet, Book, CD-ROM, Data Integration) The foundation for a non-adversarial, standards-based approach to case management for occupational and non-occupational claim professionals To obtain a copy of the MDA, or for a free trial, please visit us at www.rgl.net Reprinted with Permission. Copyright © 2005 Reed Group www.rgl.net | 866.889.4449 | 303.247.1860 The DSM-IV-TR divides major depressive disorder into two subtypes based on whether or not the individual has experienced Depression, Major a single depressive episode or recurrent depressive episodes. The DSM-IV-TR also adds specifiers to a diagnosis, rating severity along a continuum of mild, moderate, severe, and severe with psychotic features. The latter is sometimes known as depressive psychosis. Partial and full remissions are additional specifiers. Related Terms Major depression can afflict anyone, regardless of age, race, class, • Depressive Psychosis • Psychotic Depression or sex. Only a third of depressed individuals receive proper treat- • Major Depressive Disorder • Unipolar Depression ment. Recently, a study showed that of bereaved spouses who meet major depression criteria, 83% received no antidepressant Medical Codes medication. One explanation for the low percentage of treat- • ICD-9-CM: 296.2, 296.20, 296.21, 296.22, 296.23, 296.24, ment of depressed individuals is that society has stigmatized 296.25, 296.26, 296.3, 296.30, 296.31, 296.32, 296.33, 296.34, mental illness for so long that people with depression, and 296.35, 296.36, 296.5, 311 sometimes their families, feel too ashamed to acknowledge the • ICD-10: F31.3, F31.4, F31.5, F32.0, F32.1, F32.2, F32.8, disease and to seek treatment. F32.9, F33, F33.0, F33.1, F33.2, F33.3, F33.4, F33.8, F33.9 It is estimated that up to 25% of individuals experiencing severe Definition medical conditions will experience a concurrent major depres- sive disorder (DSM-IV-TR 372-73). Major depression is a serious psychiatric illness that negatively affects how an individual feels, thinks, and acts. Everyone ex- Risk: Major risk factors are female sex, age, family history, be- periences depressed moods as a result of a change, either in the reavement, and brain injury. Women suffer from the disorder at form of a setback or a loss, or as Freud said, “everyday misery.” least twice as often as men in societies around the world. The The sadness and depressed feelings that accompany the changes peak age at onset is between 20 and 25 years, and 40 and 45 and losses of life are usually appropriate, necessary, transitory, years. Although older individuals frequently seek treatment, and can present an opportunity for personal growth. However, there is no evidence that major depression is more common in depression that persists and results in serious dysfunction in daily older than in younger adults. Individuals who have parents or life could be an indication of a depressive disorder that may siblings with major depression have a 1.5 to 3 times greater risk need to be treated as a medical problem. Severity, duration, and of developing this disorder. Grief is a risk factor because it may presence of other symptoms are factors that distinguish normal turn into major depression, especially in bereaved spouses, who sadness from a depressive disorder. often meet the criteria for major depression. Major depression, called major depressive

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