Lecture Notes: SIG E CAPS - DSM-5 Criteria for Depression

Overview

• SIG E CAPS is a mnemonic to remember the DSM-5 criteria for depression (Depressive Disorder).
• A patient must exhibit 5 or more symptoms within the same two-week period.
• These symptoms must include either:
  • Depressed mood
  • Loss of interest or pleasure (Anhedonia)

Symptoms (SIG E CAPS)

1. S - Sleep Disturbances
2. I - Interest Diminished (Anhedonia)
3. G - Guilt and/or Feelings of Worthlessness
4. E - Energy Decreased (Fatigue)
5. C - Concentration Problems
6. A - Appetite or Weight Changes
   • Significant weight loss without dieting
   • Weight gain
7. P - Psychomotor Agitation or Retardation
   • Slowing down of thoughts and movements
   • Must be noticeable by others, not just subjective
8. S - Suicidal Thoughts

Diagnostic Criteria

• Symptoms must significantly affect everyday functioning.
• They must not be caused by substance abuse or medication.

Notes

• Remember, the presence of either depressed mood or anhedonia is crucial for diagnosis.
• Look for significant changes in behavior that are observable by others, as with psychomotor changes.