The bereavement exclusion in DSM-IV was removed from depressive disorders in DSM-5.[10] New disruptive mood dysregulation disorder (DMDD)[11] for children up to age 18 years.[4] Premenstrual dysphoric disorder moved from an appendix for further study, and became a disorder.[4] Specifiers were added for mixed symptoms and for anxiety, along with guidance to physicians for suicidality.[4] The term dysthymia now also would be called persistent depressive disorder.