Dietitians working with patients who have mood disorders should review the signs and symptoms obtained in the nutrition assessment and diagnose nutrition problems based on these signs and symptoms. Nutrition diagnoses from the list below as well as other diagnoses may be present.

• Increased energy expenditure (NI-1.1)
• Inadequate energy intake (NI-1.2)
• Excessive energy intake (NI-1.3)
• Inadequate oral intake (NI-2.1)
• Excessive oral intake (NI-2.2)
• Excessive alcohol intake (NI-4.3)
• Less than optimal intake of types of carbohydrates (specify) (NI- 5.8.3)
• Inadequate fiber intake (NI-5.8.5)
• Food- and nutrition-related knowledge deficit (NB-1.1)
• Unsupported belief/attitudes about food or nutrition-related topics (use with caution) (NB-1.2)
• Not ready for diet/lifestyle changes (NB-1.3)
• Self-monitoring deficit (NB-1.4)
• Limited adherence to nutrition-related recommendations (NB-1.6)
• Undesirable food choices (NB-1.7)
• Physical inactivity (NB-2.1)
• Inability to manage self-care (NB-2.3)
• Impaired ability to prepare foods/meals (NB-2.4)
• Limited access to food or water (NB-3.2)
• Unintended weight loss (NC-3.2)
• Unintended weight gain (NC-3.4)

Sample PES or Nutrition Diagnostic Statement(s)

• Inadequate energy intake (NI-1.2) related to eating one meal per day as evidenced by BMI of 17.5 and estimated intake 800 kcal/day less than needs.

Note: Terminology in the examples above is from the Academy of Nutrition and Dietetics International Dietetics and Nutrition Terminology, 4th edition. Code numbers are inserted to assist in finding more information about the diagnoses, their etiologies, and signs and symptoms. Each term has an Academy-unique identifier (eg, 99999) following the IDNT alpha-numeric code. The Academy-unique identifier is for data-tracking purposes in electronic medical records. Neither code should be visible in routine clinical documentation.