Current formal classificatory systems allow a large number of depressive subtypes, with criteria designed to assist diagnostic reliability. Most reflect attempts to create classes on the basis of severity-weighted dimensional models. Terms such as 'major depression' and 'unipolar depression' have achieved acceptance in recent years, for such diagnoses are easily made (and easily reified), but the limitations inherent to their heterogeneity should not be ignored. Until the dissonance between the formal classifications and clinician-derived models has been resolved, practitioners should proceed by recognizing the advantages and limitations to competing approaches.

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