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Medical history, your current and past these abnormalities include hypothyroidism, hyperthyroidism, hyperlipidemia because of the multifactorial nature.

23.12.2014

Major depression recurrent severe code, depression diagnosis and treatment - Review

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Current nosologies of depressive illnesses do not, however, do a very good job of categorizing chronic depression.
When the validity of these distinctions is examined, it becomes apparent that this multitude of diagnoses does not reflect the clinical reality of chronic depressive illnesses.
The natural history of chronic depression was well described in the work of the NIH Collaborative Study on the Psychobiology of Depression. McCullough and colleagues4 compared 681 outpatients with chronic depression for a broad range of demographic, clinical, psychosocial, family history, and treatment response variables.


Those who had suffered at least 2 major depressive episodes but without full interepisode recovery. ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions.
For MDD, symptoms must be present continuously for 2 weeks and may be characterized by a single episode or be recurrent. The term "double depression" was introduced by Keller and colleagues3 in 1982 to describe patients with MDD and a preexisting chronic minor depression (now called dysthymic disorder).


Although this term appears commonly in the clinical literature and comes closest to reflecting the clinical reality of chronic depression, it is not a DSM diagnosis and must be captured in DSM-IV by assigning 2 diagnoses (MDD and dysthymia).
Also, there can be no major depressive episode during the first 2 years of the disturbance (1 year for children and adolescents).




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