What is Atypical Depression?

In 1959, West and Dally first proposed the concept of "Atypical Depression". Atypical depression is one of the subtypes of depression that negatively affects a person's standard of living. Atypical depression is accompanied by severe anxiety (intense anxiety). Therefore, the symptoms of this disorder can be considered as a result of trying to cope with anxiety. According to research, the frequency of depression patients suffering from atypical depression features in our country is 19%. Unlike other subtypes of depression, the onset of atypical depression is earlier. 16 years of age is the earliest age at which this disorder begins to appear. In addition, atypical depression occurs 5 times more frequently in women than in men. Atypical depression also has a genetic background. The child of a mother with atypical depression is more likely to have symptoms of this disorder than the child of a healthy mother.

Atypical depression can also be seen together with other psychiatric disorders. As comorbidities, avoidant personality disorder and social phobia can be seen together with atypical depression. In such cases, other diagnostic groups may cause the clinician to miss the diagnosis of atypical depression.

Reactivity is observed in mood. In other words, unlike classical depression, when the individual encounters positive life events (such as succeeding in an important exam, getting a promotion at work, or receiving a gift from a friend), his depressive feelings may decrease and he can give the appropriate positive emotional response. Therefore, it may not be clear whether the person is depressed or not. During this period, the person begins to sleep more and eat more. Additionally, the individual may feel weight falling on his arms and legs. People lose their energy. Additionally, the person may become hypersensitive to rejection during this period. His functionality may be impaired in any area where he fears rejection (romantic relationships, business life). May not be able to establish long-term relationships. Rejection sensitivity is not only associated with the atypical depression episode, it is also a personality trait.

Atypical depression, like classical depression, is treated with medication and psychotherapy.

 

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