The above is a statement, not a question. I know exactly what is wrong with me because I received the notes from my previous psychiatric appointment in the post today. And here it is:
Recurrent depressive disorder - currently in remission (ICD10 F33.4)
The notes are pretty bleak.
Miss O'Donnell has a long history of recurrent low mood.
Several times a year she has periods of a few weeks or so where she has moderate depressive symptoms. At this point her sleep, mood, appetite, energy, motivation, concentration and interest in socialising are all affected. She also has clear anhedonia (an inability to experience pleasure from normally pleasurable life events) at these points.
Ms O'Donnell was a pleasant young Caucasian woman.
Her content was logical and coherent.
She appeared to be euthymic with a bright reative affect.
She was cognitively grossly intact.
And the crunch: "Ms O'Donnell has a long history of periodic recurrent multiple depressive episodes. She has occasional low-grade 'highs' but would by no means qualify for a Bipolar Affective Disorder diagnosis."
So there I have it. In black and white.
As a footnote, I googled ICD10 F33.4 and this is what I found.
F33.4 Recurrent depressive disorder, currently in remission
A. The general criteria for recurrent depressive disorder (F33) have been met in the past.
B. The current state does not meet the criteria for a depressive episode
(F32.-) of any severity, or for any other disorder in F3 (the patient may receive treatment to reduce the risk
of further episodes).