Name of the Condition

• Major depressive disorder, recurrent, mild
• Also known as mild recurrent depression

Summary

• Major depressive disorder, recurrent, mild (F33.0) is a mental health condition characterized by repeated episodes of depressive symptoms that are less severe than those found in major depressive episodes. It affects a person's mood and ability to function, but symptoms are typically more manageable in daily life.

Causes

• The exact cause of major depressive disorder is not fully understood. However, it is believed to result from a combination of genetic, biological, environmental, and psychological factors.

Risk Factors

• Family history of depression
• Previous episodes of depression
• Stressful life events or trauma
• Substance abuse
• Certain medical conditions and medications

Symptoms

• Persistent low mood or sadness
• Loss of interest in activities once enjoyed
• Changes in appetite or weight
• Sleep disturbances
• Fatigue or low energy
• Difficulty concentrating or making decisions
• Feelings of worthlessness or guilt

Diagnosis

• Diagnosis typically involves a comprehensive clinical evaluation by a mental health professional, considering the patient's history and symptoms. Standardized questionnaires and diagnostic criteria from the DSM-5 are often used.

Treatment Options

• Psychotherapy: Cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT) can help patients identify and change negative patterns of thought and behavior.
• Medications: Antidepressants such as selective serotonin reuptake inhibitors (SSRIs) may be prescribed to help balance brain chemicals.
• Lifestyle Modifications: Regular exercise, healthy diet, and adequate sleep can support mood improvement and overall well-being.

Prognosis and Follow-Up

• With treatment, individuals can often manage symptoms effectively. Regular follow-ups with healthcare providers are important to monitor progress and adjust treatments as needed.

Complications

• If untreated, mild depression can progress to more severe depression, leading to significant impairment in social and occupational functioning and a reduced quality of life.

Lifestyle & Prevention

• Consistent physical activity, stress management techniques, and fostering supportive relationships may help reduce the risk of recurrence.
• Avoiding alcohol and drugs is also recommended.

When to Seek Professional Help

• Seek help if experiencing persistent depressive symptoms that interfere with daily life, or if there are thoughts of self-harm or suicide.

Additional Resources

• National Alliance on Mental Illness (NAMI): www.nami.org
• Mental Health America: www.mhanational.org

Tips for Medical Coders

• Ensure the code F33.0 is used specifically for recurrent episodes that are classified as mild in severity.
• Be cautious when distinguishing between different severities and types of depression to avoid coding errors.