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The relationship between grief and depression following bereavement has been debated in the literature as well as in the general public media. Much of the recent conversation has focused on the implication for the Diagnostic Statistical Manual of Mental Disorders, version 5 (DSM-5). This is the first major rewriting of the manual since the DSM-IV was published in 1994. Among the many changes to the DSM-5 the bereavement exclusion was eliminated to the diagnostic criteria for a Major Depressive Episode. Thus, it is now up to the clinician’s discretion to differentiate a Major Depressive Episode following bereavement from a typical grief reaction following bereavement (J. Fawcett, M.D., personal communication, June 8, 2013).
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