Which of the following is NOT a valid first-episode specifier?

• A. Currently in acute episode
• B. Currently in partial remission
• C. Currently in full remission
• D. Chronic remission

Answer: (D)

The idea is to describe the current state of a first episode using simple, clinically meaningful descriptors. An acute episode means the person has active symptoms right now. Partial remission means symptoms have lessened but some remain. Full remission means there are no significant symptoms at the moment. Chronic remission, however, isn’t a standard way to label a first episode. The term implies a long-standing, ongoing remission, which by definition wouldn’t describe the initial presentation of an episode. In the context of a first-episode assessment, you’d either document that the episode is active (acute) or indicate the degree of symptom resolution (partial or full remission) if treatment has already shifted the course. That’s why chronic remission is not a valid first-episode specifier.