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Introduction and Types of Depression

Introduction to Depression Depression is divided into two general types: primary and secondary type. Under the primary type, the most dominant disorder is Major Depressive Disorder (MDD), also known as clinical depression. MDD is divided into three subtypes: (1) melancholia or classic depression, (2) atypical or non-classic depression, and (3) psychotic depression. Major subtypes of MDD Melancholia is a type of depression where the essential feature is the loss of interest or pleasure in all, or almost all activities, or a lack of reactivity to usually pleasurable stimuli. Your depressed mood does not improve, even temporarily, when something good happens to you. In addition, you experience at least three of the following symptoms: a distinct quality of the depressed mood, depression that is regularly worse in the morning, early morning awakening, psychomotor retardation or agitation, significant anorexia or weight loss, or excessive and inappropriate guilt.  In atypical depression, there is mood reactivity and the presence of at least two of the following features: Increased appetite or weight gain Hypersomnia Leaden paralysis The long-standing pattern of extreme sensitivity to perceived interpersonal rejection. These features predominate during the most recent 2-week period.When you manifest mood reactivity, it means that you cheer up when you are presented with positive events, like a visit from your children, or brothers and sisters, or receiving compliments from others.