Episode Details

Episode Notes

DSM-IV Criteria for DSM-IV-TR Criteria for “Manic Episode” “Major Depressive Episode” 

 1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (feels sad or empty) or observations made by others. 

 2. Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day. 

 3. Significant weight loss when not dieting or substantial weight gain. 

 4. Insomnia or hypersomnia nearly every day. 

 5. Fatigue or loss of energy every day. 

 6. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day. 

 7. Diminished ability to think or concentrate, or indecisiveness, nearly every day. 

1. Recurrent thoughts of death...recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan of attempting suicide 

American Psychiatric Association: Diagnostic and statistical manual of mental disorders, Fourth Edition, Text Revision. Washington, D.C.: American Psychiatric Association, 2000. 

Biblical Explanation for Biblical Explanation for 

“Manic Episode” “Major Depressive Episode” 

Following are biblical descriptors that more accurately describe the spiritual issues that foster behavior and thinking: 

 • Depression 

 • Hopelessness 

 • Worry 

 • Selfishness 

 • Double-Minded 

 • Misplaced Trust 

 • Pride 

 • Depravity/Sin 

 • Grief 

 • Idolatry such as: 
  Peace at all Cost  Significance
  Symptom Relief  Security 
  Control 

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