Is the treatment of atypical depression is different from melancholic depression?
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Melancholic depression is the classic form of biological depression. Its defining features are: A more severe depression than is the case with non-melancholic depression, with a lack of pleasure and difficulty in being cheered up Psychomotor disturbance (e. G. Low energy, poor concentration, slowed or agitated movements) Melancholic depression is a relatively uncommon type of depression. It affects less than 10 per cent of people presenting with a depression diagnosis. The numbers affected are roughly the same for men and women. Melancholic depression has a low spontaneous remission rate. It responds best to physical treatments (for example antidepressant drugs) and only minimally (at best) to non-physical treatments such as counselling or psychotherapy. Atypical depression is a name that has been given to expressions of depression that contrast with the usual characteristics of depression. For example, rather than experiencing appetite loss the person instead experiences appetite increase; and sleepiness rather than insomnia. Someone with atypical depression is also likely to have a personality style of interpersonal hypersensitivity (expecting others not to like or approve of them). The features of atypical depression include: Being able to be cheered up by pleasant events Significant weight gain or increase in appetite (especially to comfort foods) Excessive sleeping (hypersomnia) Heaviness in the arms and legs A long-standing sensitivity to interpersonal rejection ?the individual is quick to feel that others are rejecting of them.
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