Abstract
Depressions occurring in the menopausal years do not fit the description in the American Psychiatric Association''s Diagnostic and Statistical Manual of Mental Disorders [DSM], edition 2. Depressed patients who are in the menopausal years do not have a distinct symptom pattern, an absence of previous episodes or an absence of life-stress precipitants. The evidence supports the decision to exclude involutional melancholia, as currently defined, from the forthcoming DSM, edition 3.

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