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Re: Atypical Depression » Automated Lady

Posted by Elizabeth on February 28, 2002, at 2:13:48

In reply to Atypical Depression, posted by Automated Lady on February 25, 2002, at 13:15:23

Hi. I don't know if atypical depression is diagnosed outside the U.S. The only medications that are definitely known to be effective are MAO inhibitors. Tricyclics are not very effective and probably should be considered a last resort. ECT seems not to be very effective either. Newer antidepressants might work, but there's less evidence for them than there is for MAOIs. I've definitely heard of successes with SSRIs and Wellbutrin.

Seasonal depression often presents with atypical features. It's a good idea to try to determine whether you have a seasonal pattern, since seasonal depression often responds to light therapy.

"Atypical depression" is really a misnomer; it's very common, probably much more common than "classic" depression. Early-onset depression is more likely to be atypical, I think. On the other hand, I'm about your age and have childhood-onset depression, but I have "typical" symptoms. I think that's unusual, though.

-elizabeth


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