The following three different kinds of depression are distinct depressive disorders described in the DSM. A common criteria is that their symptoms either cause 1) significant distress or 2) impair one’s functioning (e.g. work, school, relationships). Also, these depressive symptoms are not caused by a medical condition or substance (e.g. medicatio Major Depressive Disorder (also known as Major Depression, Clinical Depression) – A major depressive episode occurs with symptoms that last for most of the day, nearly every day for at least two weeks. A symptom must either be 1) depressed mood or 2) a noticeable decrease in interest or pleasure in all or most activities. At least four (or more) additional symptoms are present:
- significant weight loss / weight gain or decrease / increase in appetite
- difficulty sleeping or increase in sleeping
- excessive movement or slowing down associated with mental tension (observed by others)
- fatigue or loss of energy
- feeling worthless or excessive guilt
- difficulty thinking, concentrating or making decisions
- repeatedly thinking about death or suicide, trying to attempt suicide or having a specific plan to commit suicide
Dysthymic Disorder (or also referred to as Dysthymia) – Nearly constant depressed mood for at least 2 years accompanied by at least two (or more) of the following:
- decrease or increase in eating
- difficulty sleeping or increase in sleeping
- low energy or fatigue
- low self-esteem
- difficulty concentrating or making decisions
- feeling hopeless

- Catatonic Depression - (Sub-type of Major Depressive Disorder) – This type of depression is characterized by at least two of the following:
- Loss of voluntary movement and inability to react to one's environment
- Excessive movement (purposeless and not in response to one's environment)
- Extreme resistance to instructions/suggestions or unable/unwilling to speak
- Odd or inappropriate voluntary movements or postures (e.g. repetitive movements, bizarre mannerisms or facial expressions)
- Involuntarily repeating someone’s words or movements in a meaningless way
Notes:
1. Source - Diagnostic and Statistics Manual of Mental Disorders, 4th Edition
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