1. Major Depressive Disorder

2. DSM-5 Criteria for MDD
Cognitive
Concentration Difficulties
Suicidal Thoughts
A: Need 5 out of the 9 symptoms - 1 of which must be either
Emotional
Depressed Mood
Diminished Interest
Worthlessness/Guilt
Physiological
Weight/Appetite Change
Sleep Difficulties
Psychomotor Changes
Fatigue

3. Background
The client is a 24 year old, Mexican-American, cisgender female from a low SES background. The client immigrated to the United States with her family when she was six years old. She identifies as heterosexual and is currently single. The client is Catholic and identifies religion as an important part of her life.
Chief complaint: “I’m tired.”

4. Think-Pair-Share
What questions would you want to ask this client to assess for Major Depressive Disorder?

5. Is this person suffering from MDD?

6. But wait...

7. C: Symptoms not attributable to substance use or medical condition
But wait...
For a DSM-5 diagnosis to be assigned:
B: Symptoms cause significant distress or impairment in important areas of functioning
C: Symptoms not attributable to substance use or medical condition
D: Not better explained by another disorder

8. What else do we need to know?