What Is Depressive Disorder NOS?
Depressive Disorder NOS or Depressive Disorder Not Otherwise Specified (DD-NOS) is a definition under DSM-IV code 311. DSM stands for Diagnostic and Statistical Manual of Mental Disorder which is handbook highly used to diagnose mental disorders and is laid by American Psychiatric Association. The definition explains about psychological issues which are impairing but do not meet the set criteria of officially defined diagnosis. DD- NOS is defined as “any depressive disorder that does not meet the criteria for a specific disorder” There are two known manifestations of depression namely Dysthymic Disorder as well as Major Depressive disorder both of which has a set of specific symptoms which helps in diagnosing the respective issues. Any occurrence depression apart for these two specifically defined conditions can be considered as Depressive Disorder NOS.
Some common Depressive Disorder Not Otherwise Specified may include:
- Minor depressive condition which is characterized through more than one episode of depression with less than 5 of the defined signs of Depressive Disorder Nos which are used to designate major depression
- PMDD or Premenstrual Dysphoric Disorder is another women specific DD-NOS which occurs during a week before the start of menstruation
- Depressive disorder which are often recorded after episode of schizophrenia attack; these are also known as post psychotic depression of schizophrenia
- Clinical depression or Clinical Major Depression is another condition in category of Depressive Disorder Not Otherwise Specified which is recorded in patient diagnosed with schizophrenia
- Concurrent short depressive episodes which are characterized 2 days to 2 week long depression along with symptoms similar to signs of major depression noticed once in 30 days
- Another case of DD- Nos is when patient suffers from depression due to medication which cannot be determined whether it is occurring due to medicinal drugs.
According to code 311 of DSM-IV Depressive Disorder NOS cannot be diagnosed correctly unless the signs of the condition affect the daily living activities of the affected individual. These symptoms of DD- NOS may have significant influence on the social relationship and may degrade the quality of life. The formidable indications of such condition may affect work, academics, relationships, duties, authorities, etc. However, it cannot be considered as Depressive Disorder NOS is it occurs due to central nervous system depressants like alcohol, therapeutic drugs such as anti-psychosis, defined medical conditions or bereavement, etc.
Determining or Diagnosing Depressive Disorder NOS:
There are several ways in which Depressive Disorder Not Otherwise Specified can manifest itself. This would depend on the subtype as well as the affected person. There are some common indications of such conditions which may include tiredness, head-pain, affected appetite, staying in isolation, sexual disabilities, suicidal tendencies, insomnia, hypersomnia, affected concentration, irritation, compromised daily living activities and memory lapse, etc.
Depressive Disorder NOS Treatments:
Any severe cases that falls under Depressive Disorder Not Otherwise Specified may require medical attention with antidepressant drugs treatment. These drugs are also blamed to cause several side- effects. Moreover, if these medicines are administered for long time it may react in form of rebound depression or dependency. Effective treatment modes for dealing with DD- Nos is said to be Behavioral Modulation Therapy and counseling. A treatment regimen combining these aforementioned alternative therapies along with antidepressant is considered as the best option. This is because alternative treatment can reduce the need of antidepressant thus decreasing the needed dosage or duration which in turn decreases the risk of side effects.