Atypical depression is an emotional disorder in which typical depressive symptoms (depressed mood, ideas of guilt, psychomotor disorders) are mild or modified, and atypical manifestations lead to atypical manifestations, psychomotor disorders) are mild or modified, and untypical manifestations lead to atypical manifestations, psychomotor disorders) are mild or modified, and untypical symptoms are dominant, and psychomotor disorders are poorly expressed, or modified, and untypical manifestations lead, and psychomotor disorders) are atypical, or modified, and atypical manifestations lead to atypical manifestations.
It accounts for at least 40% of all depressive disorders. It usually proceeds shorter but frequent episodes than the typical form of the disease.
The first manifestations of this affective disorder may occur in adolescence or youth.
This disorder affects women more often. Many patients have a concomitant diagnosis – somatoform or panic disorder, drug abuse.
Atypical depressions can be formed against the background of such personality disorders as psychasthenia (anxiety personality disorder), hysterical or asthenic psychopathy.
Such emotional disorders rarely fall into the field of view of a psychiatrist, most often such patients refer to a general practitioner or family doctor.
What contributes to the emergence of
There are several causes of atypical depression:
- burdened heredity;
- various life disasters that are personally significant for a person, such as the death of a loved one, divorce, dismissal from a favorite job, bankruptcy, rape, etc.
Chronic stress – prolonged exposure to an adverse factor can, over time, lead to the development of an emotional disorder.
Symptoms of atypical depression can be diverse, but the most common are:
- increased appetite;
- increased drowsiness (hypersomnia) or, conversely, insomnia;
- reduced energy potential;
- phenomena of emotion alienation;
- various complaints from the internal organs, and with a thorough examination of this, no abnormalities are found;
- fear of severe incurable disease;
- loss or weight gain;
- delusions of guilt, sinfulness, relationships, condemnation and others.
Each patient will have their own “set” of symptoms. Depending on this, there are several options for atypical depressions, each of them I reviewed in detail in previous articles:
- depression with delirium;
- Hypochondria and others.
The category of atypical also includes masked depression, described in more detail in this article.
The treatment of this type of depression should be complex – you need to adhere to a certain dietary diet, take medication, and psychotherapy is not superfluous.
The basis of the treatment of atypical depressions is the use of antidepressants. The following effects have the maximum effect in this pathology:
- MAO (monoamine oxidase) inhibitors – phenalzine, nialamide;
- SSRIs (selective serotonin reuptake inhibitors) – fluoxetine, fluvoxamine, sertraline, citalopram, paroxetine.
The use of tricyclic antidepressants, such as amitriptyline, clomipramine, imipramine, in most cases is not effective.
By itself, atypical depression does not require a diet. However, if a patient takes medications from the group of MAO inhibitors, in order to avoid the development of tyramine or “cheese” reactions, some products should be excluded from the diet. The reason for such reactions is the incompatibility of MAO inhibitors with certain food products.
If you do not follow these recommendations, a sharp increase in intraocular pressure, hypertensive crisis, angina may develop.
In the treatment, in addition to the classical drugs, can be used medicinal herbs, as well as drugs prepared on their basis. You can read more about this in this article.