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How Major Is Major Depression? 

How Major Is Major Depression?
Chapter:
How Major Is Major Depression?
Author(s):

Joel Paris

DOI:
10.1093/med/9780199350643.003.0005
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date: 27 May 2022

Major depression, as defined in DSM-5, is not necessarily “major.” Its history can be traced back to a unitary theory of dépression in which all symptoms are seen as falling on a continuum. The danger is that sadness, if it lasts for any length of time, will be diagnosed as depression. This approach has supported treatment practices that are not evidence-based. Not all patients meeting diagnostic criteria can be successfully treated with antidepressant medication. Psychiatry cannot become a clinical science unless it can separate what is pathological from what is normal.

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