Depression, Depression Types

Substance-Induced Mood Disorder

Essential features of Substance-Induced Disorder is a:

prominent and persistent disturbance in mood that is based upon the direct physiological effects of a substance.

Depending on what types and frequency the drug may be, the symptoms that typically occur are a depressed mood, and or a markedly diminished interest or pleasure in the life around them.

Although the the symptoms seem to be similar to the more well known types, for instance- Major Depressive Disorder, however, the criteria never reaches levels needed for this particular diagnosis.

These symptoms must cause serious impairment or distress in social, occupational, and other important areas of functioning.

For drugs of abuse, there must be evidence of Dependence, Abuse, intoxication, or withdraw in the persons history.

Substance-Induced Disorder arise only in association with intoxication or withdraw states, whereas other mood disorders may precede the onset of abuse or during times of abstinence.

Criteria for Substance-Induced Mood Disorder

A. A prominent and persistent disturbance in mood predominates in the clinical picture and is characterized by either of the following:

(1) depressed mood or markedly diminished interest or pleasure in all, or almost all, activities

(2) elevated, expansive, or irritable mood

B. There is evidence from the history, physical examination, or laboratory findings of either (1) or (2):

(1) the symptoms in Criterion A developed during, or within a month of, Substance Intoxication or Withdrawal

(2) medication use is etiologically related to the disturbance

C. The disturbance is not better accounted for by a Mood Disorder that is not substance induced. Evidence that the symptoms are better accounted for by a Mood Disorder that is not substance induced might include the following: the symptom precede the onset of the substance use; the symptoms persist for a substantial period of time after the cessation of acute withdrawal or severe intoxication or are substantially in excess of what would be expected given the type or amount of the substance used or the duration of use; or there is other evidence that suggests the existence of an independent non substance-induced Mood Disorder.

D. The disturbance does not occur exclusively during the course of a delirium.

E. The symptoms cause clinically significant distress or impairment in social, occupational, or totter important areas of functioning.