Posted by jedi on June 13, 2010, at 23:55:03
In reply to Re: Nardil - Good Days, Bad Days » jedi, posted by Phillipa on June 13, 2010, at 21:08:44
> Jedi now I have atypical depression. What are the meds for that seriously? Something has to give and my pdoc isn't the same since her car accident over a year ago. She's also 73. Love Phillipa
Hi Phillipa,
Here is the DSM-IV defenition of atypical depression from Wikipedia:The DSM-IV-TR defines Atypical Depression as a subtype of Major Depressive Disorder with Atypical Features, characterized by:
a) Mood reactivity (i.e., mood brightens in response to actual or potential positive events)
b) At least two of the following:
* Significant weight gain or increase in appetite;
* Hypersomnia (sleeping too much, as opposed to the insomnia present in melancholic depression;
* Leaden paralysis (i.e., heavy, leaden feelings in arms or legs);
* Long-standing pattern of interpersonal rejection sensitivity (not limited to episodes of mood disturbance) that results in significant social or occupational impairment.c) Criteria are not met for Melancholic Depression or Catatonic Depression during the same episode.
Despite its name, "atypical" depression is actually the most common subtype of depression[1][2] up to 40% of the depressed population may be classified as having atypical depression.
-----------------------------PDOCS will almost always start treatment for atypical depression with the SSRIs. When that does not work they will try one of the newer generation ADs. When that doesn't work they may finally try a MAOI.
Another defining feature of atypical depression is that the MAOIs work significantly better for it than the tricyclics.
Be Well,
Jedi
Jedi
Treatment resistant, atypical, double depression with social anxiety.
Nardil + clonazepam
poster:jedi
thread:950663
URL: http://www.dr-bob.org/babble/20100604/msgs/951003.html