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Melancholic Depression, or 'depression with melancholic features' is a subtype of depression characterized by the inability to find pleasure in positive things combined with physical agitation, insomnia, or decreased appetite. Roughly 10% of people with depression suffer from Melancholic Depression.
Diagnostic criteria (DSM-IV-TR)[]
The DSM-IV-TR, a widely used manual for diagnosing mental disorders, defines Depression with Melancholic Features as a subtype of depression characterized by:
- A. At least one of the following:
- loss of pleasure in all, or almost all, activities
- lack of mood reactivity to usually pleasurable stimuli (can't feel much better, even when something good happens)
- B. At least three of the following:
- distinct quality of depressed mood (i.e., the depressed mood is experienced as distinctly different from the kind of feeling experienced after the death of a loved one)
- depression is regularly worse in the morning
- early morning awakening (at least 2 hours before usual time of awakening)
- marked psychomotor retardation or agitation
- significant anorexia or weight loss
- excessive or inappropriate guilt
See also[]
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