To make a diagnosis of a Major Depressive Episode based on DSM-5 criteria, a client would need to have five or more specific symptoms, with at least one of two necessary symptoms. Which symptom below is one of those necessary symptoms?

  1. Significant weight loss
  2. Feelings of worthlessness
  3. Markedly diminished interest or pleasure
  4. Fatigue or loss of energy
Explanation

Answer: C - A markedly diminished interest or pleasure in most all activities nearly every day for two weeks is a necessary symptom for a diagnosis of a Major Depressive Episode. Such a diagnosis can be made when this symptom is also accompanied by other symptoms of depression for a total of five or more symptoms.

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