Definition:
Atypical depression is a subtype of depression characterized by distinct symptoms that differ from those commonly associated with depression.
Symptoms:
Atypical depression is characterized by the following symptoms:
- Mood reactivity: People with atypical depression typically experience an improved mood in response to positive events or experiences.
- Increased appetite or weight gain: Atypical depression often leads to overeating and weight gain.
- Hypersomnia: Individuals may experience excessive daytime sleepiness and increased need for sleep, often sleeping for prolonged periods.
- Heavy feeling in limbs: People with atypical depression may experience a sensation of heaviness or leaden paralysis in their arms or legs.
- Sensitivity to rejection: Rejection sensitivity is heightened in individuals with atypical depression, often leading to social withdrawal or avoidance.
Treatment:
Treatment for atypical depression typically involves a combination of antidepressant medication and psychotherapy.
Commonly prescribed antidepressants include:
- Selective serotonin reuptake inhibitors (SSRIs): Such as fluoxetine (Prozac) or sertraline (Zoloft)
- Monoamine oxidase inhibitors (MAOIs): Such as phenelzine (Nardil) or tranylcypromine (Parnate)
- Other atypical antidepressants: Such as bupropion (Wellbutrin) or mirtazapine (Remeron)
Psychotherapy options for atypical depression may include cognitive-behavioral therapy (CBT), interpersonal therapy (IPT), or psychodynamic therapy.
In some cases, additional adjunctive treatments, such as exercise, light therapy, or electroconvulsive therapy (ECT), may be recommended.