The document summarizes changes made to mood disorders in the DSM-5 from the DSM-IV-TR. Key changes include renaming "mixed episode" to "with mixed features" specifier, adding "other specified bipolar and related disorder" for people with histories of major depressive disorder and hypomania, including premenstrual dysphoric disorder which was previously listed as needing more study, and adding disruptive mood dysregulation disorder for children experiencing persistent irritability and behavioral dyscontrol to address overdiagnosis of bipolar disorder in kids. Dysthymic disorder is now classified under the umbrella of "persistent depressive disorder."

1. Mood Disorders

2.  http://www.psych.org/practice/dsm/dsm5
 “Highlights of changes from DSM-IV-TR to
DSM-5”
◦ Updated May 17, 2013

3.  Seems pretty similar to DSM-IV-TR
 “Mixed Episode” changed to “with mixed
features” specifier
◦ When an episode of mania or hypomania includes
depressive features
 “Other Specified Bipolar and Related Disorder”
◦ People with past history of major depressive
disorder who have some hypomania
◦ For people who don’t quite meet Bipolar II
requirement, but not clear MDD either

4.  Premenstrual Dysphoric Disorder
◦ Was already in DSM-IV under “for further study”
◦ Not just “PMS”
 Serious impairment of functioning
 Disruptive Mood Dysregulation Disorder
◦ For children up to age 18
◦ Persistent irritability
◦ Frequent episodes of “behavioral dyscontrol”
◦ Addresses concerns about overdiagnosis of bipolar
disorder in kids

5.  Dysthymic Disorder now a part of “persistent
depressive disorder”
◦ Recognizes Dysthymic Disorder as on the same
spectrum as chronic MDD
◦ Persistent Depressive Disorder includes specifiers
to tease these apart