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How to Write a Depressive Disorders Paper

MDD CRITERIA  ·  PDD CRITERIA  ·  KEY DIFFERENCES  ·  INTERVENTIONS  ·  TV CHARACTERS  ·  APA FORMAT

Depressive Disorders Paper: MDD vs PDD

DSM-5 criteria, the core differences between the two disorders, picking the right evidence-based intervention, sourcing scholarly support, and nailing the TV character section — here’s how to approach every part of this paper without getting lost.

10–13 min read Counseling / Psychology CO520 / CACREP 5C.2.d 2,400+ words

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Guidance for counseling and clinical psychology assignments at the graduate level. DSM-5 diagnostic criteria referenced from the American Psychiatric Association’s DSM-5 resource page.

Five sections. One paper. Two disorders that look similar on the surface but pull apart in very specific ways once you get into the DSM-5 criteria. The tricky part isn’t finding facts — it’s knowing exactly what the rubric wants in each section and making sure you don’t conflate MDD and PDD when comparing them. This guide breaks down each part of the assignment and tells you how to approach it.

MDD Criteria PDD Criteria Key Differences Evidence-Based Interventions Scholarly Support TV Character Analysis Common Mistakes

Assignment Requirements at a Glance

The rubric has five scoreable components worth 20 points each. Before you write a single sentence, map your paper to each component. Missing one entirely gets you a zero on that section — and a zero on a 20-point chunk hurts.

Paper Requirement Checklist

Diagnosing criteria for MDD — All DSM-5 criteria listed and explained. Not a paraphrase of one or two — all of them. The rubric explicitly penalizes partial criteria.
Diagnosing criteria for PDD — Same standard. The full DSM-5 criteria set for Persistent Depressive Disorder, not just a general description.
Primary differences between MDD and PDD — Must be thorough and clearly explained. A single sentence comparing duration won’t earn full marks.
One evidence-based intervention with scholarly support — The intervention must have peer-reviewed backing. The rubric specifically says “scholarly support” — a textbook or website without a DOI won’t cut it.
One TV character for MDD, one for PDD — with rationale — You must justify your choices using actual diagnostic criteria. “They seem sad” is not a rationale.
3–5 pages, APA format, Times New Roman 12pt, double-spaced, Word document only — Submitted in any other format gets returned without a grade. Non-negotiable.

How to Structure the Paper

Don’t think of this as a five-question assignment answered in order. Think of it as a paper with a logical flow. Each section should set up the next one.

1

Introduction (half a page)

Brief overview of depressive disorders as a category. Mention that MDD and PDD are two distinct diagnoses within that category. State that your paper will examine criteria, differences, treatment, and real-world application through fictional characters. One paragraph. No need to start defining things here — that’s what the body is for.

2

MDD Diagnosing Criteria (about three-quarters of a page)

Go through the DSM-5 criteria systematically. Don’t just list them — explain what each symptom looks like in practice. Use APA in-text citations for the DSM-5 every time you state a criterion. This section should feel thorough, not rushed.

3

PDD Diagnosing Criteria (about three-quarters of a page)

Same structure as the MDD section. Don’t copy-paste the MDD structure and change the labels — the disorders have genuinely different criteria, and that difference should be visible in how you write each section.

4

Primary Differences Between MDD and PDD (half to three-quarters of a page)

This section is where students lose the most marks — either because it’s too short or because it just restates the criteria rather than directly contrasting them. Duration, severity, symptom profile, and clinical presentation are the key comparison points.

5

Evidence-Based Intervention + Does Treatment Differ? (half to three-quarters of a page)

Name a specific intervention — CBT, CBASP, behavioral activation — describe how it works, cite a peer-reviewed study supporting it, then directly address whether the treatment approach changes between MDD and PDD.

6

TV Character Analysis (half a page)

One character for MDD, one for PDD. For each: name the show, briefly describe the character, then connect specific behaviors or patterns to specific diagnostic criteria. Cite the DSM-5 as your diagnostic reference even here.

Tackling MDD Diagnosing Criteria

The DSM-5 is your source here. Not your textbook summary of the DSM-5 — the actual criteria set. MDD requires a specific number of symptoms present during the same two-week period, with at least one being a “core” symptom. The rubric penalizes papers that only partially cover the criteria.

Where to Find the Full Criteria

The American Psychiatric Association’s DSM-5 page is your authoritative source. Your institution may also provide access to the DSM-5 through the library database. Always cite it as: American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). — with the correct in-text citation format for a republished work.

When you write this section, don’t just name the symptoms. Explain what qualifies. For example: what counts as a “significant” weight change? What distinguishes “psychomotor agitation” from just being anxious? These clarifications show the grader you actually understand the criteria, not just copied them.

Watch Out for the Exclusion Criteria

MDD has exclusion criteria — symptoms that rule out the diagnosis, like substances, medical conditions, or the presence of manic/hypomanic episodes. Many students forget these entirely. Including them shows a complete understanding of the disorder and rounds out the section.

Tackling PDD Diagnosing Criteria

PDD used to be called dysthymia. The DSM-5 merged dysthymic disorder and chronic MDD under the PDD label. That matters for your paper because you may encounter older sources that use the dysthymia terminology — just note that PDD is the current diagnostic label.

Key Structural Point

PDD Has a Duration Requirement MDD Doesn’t

The minimum duration for PDD is two years of depressed mood in adults (one year in children and adolescents). That’s the defining feature. The symptoms themselves may be less intense than a full MDD episode, but they persist far longer. Make sure this distinction is prominent in your criteria section — not buried at the end.

Writing tip: Lead with the duration requirement when introducing PDD criteria. It frames everything else that follows and immediately signals to the reader that this is a different animal from MDD.

Also address the “two-symptom rule” within PDD — the specific symptoms that must be present in addition to depressed mood. And note that a person can have MDD superimposed on PDD (sometimes called “double depression”) — a detail worth a sentence if you want to go above the minimum.

Writing the MDD vs PDD Comparison

This is the section with the most room to lose points. The rubric says the comparison must be “thorough and clearly explained.” That rules out a short paragraph.

Dimension Major Depressive Disorder (MDD) Persistent Depressive Disorder (PDD)
Duration At least two weeks per episode At least two years (continuous)
Severity Typically more intense, acute episodes Milder but persistent; chronic low-grade
Symptom threshold 5 or more symptoms required Depressed mood + 2 additional symptoms
Episode pattern Can remit between episodes Mood disturbance is nearly constant; no symptom-free periods >2 months
Functional impact Often acute impairment during episodes Chronic impairment that feels “normal” to the individual

Use this table as a skeleton for your paragraph-based comparison — don’t paste a table into your APA paper. Each row above is a discussion point. Duration alone could fill a solid paragraph if you explore what “nearly every day for two years” actually means for the patient’s experience versus episodic MDD.

Choosing an Evidence-Based Intervention

You need one intervention with scholarly backing. Three strong options for this assignment:

Cognitive Behavioral Therapy (CBT)

The most researched psychotherapy for depression. Works on identifying and restructuring negative thought patterns. Dozens of randomized controlled trials support its efficacy for both MDD and PDD. Easy to find peer-reviewed sources — a strength when the rubric demands scholarly support.

  • Search: “CBT major depressive disorder RCT” in PsycINFO
  • Look for meta-analyses — they count as strong scholarly evidence
  • Note whether the study population is MDD, PDD, or chronic depression

CBASP (Cognitive Behavioral Analysis System of Psychotherapy)

Developed specifically for chronic depression. If you want to differentiate yourself in this paper, CBASP is a strong choice — it was designed for long-term depressive patterns, which maps directly onto PDD. Scholarly sources exist but require a bit more digging.

  • Search: “CBASP chronic depression” or “McCullough CBASP”
  • Developed by James McCullough — cite his original research
  • Sets up your treatment-difference discussion naturally
Does Treatment Differ Between MDD and PDD?

Your paper has to answer this directly — it’s a rubric item. Short answer: the core modalities overlap (CBT is used for both), but the approach differs in emphasis. PDD treatment often requires longer engagement, greater focus on early maladaptive schemas, and attention to the chronic nature of the disorder. CBT for acute MDD typically targets episode-specific distortions; CBT for PDD addresses pervasive, long-standing patterns. Address both the similarities and the differences in a few solid sentences.

The TV Character Section

This section trips up students who either pick characters without real justification or who pick obvious choices without connecting them specifically to criteria. The connection to criteria is what earns the marks.

PDD Character — The Hint in the Assignment

The Cartoon Clue Points Directly to Eeyore

The assignment hints at a cartoon from the 1920s, popular in the 1980s, featuring an animal character, recently adapted as a film. That’s Winnie the Pooh — and the character is Eeyore. The 2018 film Christopher Robin put Eeyore back in mainstream consciousness. His persistent low mood, hopelessness, negative self-view (“Nobody cares”), and lack of pleasure across all situations have been discussed in academic contexts as a representation of PDD. He doesn’t have acute depressive episodes — his affect is chronically, consistently flat.

Your rationale: Don’t just say “Eeyore is always sad.” Say which specific PDD criteria he meets — persistent depressed mood, low self-esteem, hopelessness, and lack of symptom-free periods — and cite the DSM-5 for each criterion.
MDD Character — Pick Someone with Episodic, Acute Presentation

MDD Characters Show Acute Episodes, Not Constant Low Mood

For MDD, look for a character who has distinct depressive episodes — periods where function clearly drops, followed by periods of relative normality. Characters from shows that explicitly deal with mental health work well here because the writers often layer in DSM-consistent symptoms. The key is that the character’s depression is episode-based, not their constant baseline personality.

Your rationale structure: Name the character and show → describe observable behaviors → map each behavior to a specific MDD criterion → cite the DSM-5. This structure works for any character you choose and guarantees you’ve addressed the “explain your rationale” component.
Don’t Diagnose Real People

The assignment specifically asks for fictional TV characters. Stick to that. Don’t cite real celebrities or public figures as examples of these disorders — it’s ethically inappropriate and outside what the rubric is asking for.

APA Formatting Essentials

The paper is APA only. Word document only. Here’s what students consistently get wrong:

Title Page

Required and Formatted

Running head format has changed in APA 7th edition — check which edition your program uses. Title, your name, institution, course, instructor, and date. Don’t skip it.

In-Text Citations

Every Criterion Needs One

Every DSM-5 criterion you name needs an in-text citation. (American Psychiatric Association, 2013) or whichever year your DSM edition is. Every intervention claim needs a citation to the peer-reviewed source.

Reference Page

Separate Page, Hanging Indent

DSM-5 entry, peer-reviewed article, and any other source. Hanging indent format. Alphabetical order. Double-spaced throughout — including the reference list.

Headings

Use APA Level Headings

Each section of your paper gets an APA-formatted heading. Don’t underline or italicize where APA doesn’t call for it. Check your APA manual for Level 1 and Level 2 heading formats.

Margins & Font

Exactly as Specified

Times New Roman 12pt, double-spaced, 1-inch margins. Don’t assume your word processor defaults match — check each setting before submitting.

Page Count

3–5 Pages of Body Content

Title page and reference page don’t count toward the page limit. If you’re at 2.5 pages of body content, you need to expand — probably in the comparison or intervention sections.

Mistakes That Get Points Deducted

Incomplete Criteria Listings

Covering 3 of 9 MDD symptoms and calling it done. The rubric says “identified all the criteria” — partial coverage earns partial points, and often less than half.

Work Through Every Criterion

Open the DSM-5 and go through the full criteria list. Explain each one in your own words. It takes longer but it’s exactly what the Target column in the rubric describes.

A Thin Comparison Section

Writing one short paragraph that says “MDD is shorter and more intense while PDD is longer and milder.” That’s the bare minimum — and it won’t earn full marks on “thorough and clearly explained.”

Compare Multiple Dimensions

Duration, severity, symptom threshold, episode pattern, treatment implications, and how each presents in clinical settings. Use the comparison table in this guide as a framework, then turn each row into a paragraph.

No Scholarly Source for the Intervention

Describing CBT without citing a peer-reviewed study earns only Acceptable points (10/20). The Target grade requires a scholarly citation supporting the specific intervention.

Find a Peer-Reviewed Article First

Before committing to an intervention, search for it in PsycINFO or PubMed. If you can find a strong RCT or meta-analysis, you have your scholarly support locked. Then write the intervention section around that source.

Character Rationale Without Criteria Connections

“BoJack Horseman seems like he has depression” doesn’t connect anything to the DSM. Observations without diagnostic mapping don’t satisfy the rationale requirement.

Map Behaviors to Specific Criteria

For each character: behavior → criterion → citation. “Character X displays persistent hopelessness and low self-esteem across all seasons of the show — consistent with PDD criterion B(5) (American Psychiatric Association, 2013).” That’s a rationale.

Frequently Asked Questions

What are all the DSM-5 criteria for Major Depressive Disorder I need to cover?
MDD requires five or more of the following symptoms during the same two-week period, with at least one being depressed mood or loss of interest/pleasure: depressed mood most of the day, markedly diminished interest or pleasure (anhedonia), significant weight change or appetite disturbance, insomnia or hypersomnia, psychomotor agitation or retardation, fatigue or loss of energy, feelings of worthlessness or excessive guilt, difficulty concentrating or making decisions, and recurrent thoughts of death or suicidal ideation. Symptoms must also cause significant distress or functional impairment and not be attributable to substances or another medical condition. Go to the DSM-5 directly for the exact language — your paper should reflect the source, not a summary of a summary.
What are the DSM-5 criteria for Persistent Depressive Disorder?
PDD requires depressed mood for most of the day, more days than not, for at least two years (one year in children/adolescents). While depressed, at least two of the following must be present: poor appetite or overeating, insomnia or hypersomnia, low energy or fatigue, low self-esteem, poor concentration or difficulty making decisions, and feelings of hopelessness. The person must not have been free of these symptoms for more than two months at a time during that two-year period. Again, use the DSM-5 as your primary citation — not a textbook description of it.
Which cartoon character fits PDD that the assignment is hinting at?
The clues point to Eeyore from Winnie the Pooh. The original A.A. Milne stories were published in the 1920s, Winnie the Pooh was a major cultural reference in the late 1980s through Disney, and the 2018 film Christopher Robin brought the characters back to theaters. Eeyore’s persistent low mood, chronic hopelessness, low self-esteem, and lack of pleasure — which are stable character traits across every episode and story, not situational responses — map cleanly onto PDD criteria. He doesn’t have acute episodes; his presentation is constant and pervasive.
Does treatment for MDD differ from treatment for PDD in therapy?
Yes, in meaningful ways. CBT works for both, but the treatment framing differs. For MDD, CBT targets acute cognitive distortions during episodes and often runs for 12–20 sessions. For PDD, treatment needs to address long-standing, entrenched patterns — the disorder has often been present so long that the depressed mood feels like the person’s personality rather than a disorder. CBASP (Cognitive Behavioral Analysis System of Psychotherapy) was specifically developed for this chronic presentation. Treatment is typically longer for PDD, and the therapeutic relationship itself is often used more directly as a change mechanism. Cite a peer-reviewed source making this clinical distinction in your paper.
Where do I find peer-reviewed sources for evidence-based interventions?
PsycINFO through your university library is the best first stop for psychology and counseling research. Search the intervention name + the disorder (e.g., “cognitive behavioral therapy persistent depressive disorder” or “CBASP chronic depression”). Filter for peer-reviewed, full text, and within the last 10 years. PubMed is also strong for clinical trials. Google Scholar works for locating articles, but verify through your library that you’re accessing the actual peer-reviewed version, not just an abstract.
Can a person have both MDD and PDD at the same time?
Yes — this is called “double depression.” It occurs when a person with PDD experiences a superimposed MDD episode on top of their chronic low mood. It’s worth one sentence in your comparison or criteria section if you want to show deeper understanding. But don’t let it become a tangent — it’s not a required component of the paper.
How many sources does my reference list need?
The rubric doesn’t specify a number, but the content requirements point to at minimum: the DSM-5 (for criteria and character rationale) and one peer-reviewed journal article (for the intervention). If you want a stronger paper, add one more source supporting either the comparison discussion or the treatment difference point. Three solid sources is realistic for a 3–5 page paper at this level.
What if I submit in Google Docs format instead of Word?
The assignment instructions are explicit: only Microsoft Word documents are accepted. Any other format gets returned without a grade. Download the Word app or use Word through your institution’s Microsoft 365 access. Converting a Google Doc to .docx before submitting sometimes introduces formatting errors — open the converted file in Word and check spacing, margins, and heading formatting before submitting.

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Start With the DSM-5, Not Your Textbook

The most common version of this paper that underperforms is the one written entirely from lecture notes and textbook summaries. The rubric wants specific criteria coverage. Your textbook may have a table summarizing MDD symptoms. That table is not the same as the full DSM-5 criteria set — it’s a teaching aid.

Get the actual DSM-5. Go through each criterion for both disorders. Write your criteria sections from the source, not from a summary of the source. Everything else in the paper — the comparison, the intervention, the character analysis — builds on that foundation.

The TV character section looks like the fun part. It is. But it’s also where students lose marks by skipping the rationale. The structure is simple: pick a character whose traits map to diagnostic criteria, name the criteria, cite the DSM-5. That’s the whole job. If you can do that for both characters, that section writes itself.

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