Atypical Depression. What Is It? Symptoms & Treatment

Atypical depression is a subtype of depression that deviates from the classic presentation of this mental health condition. Unlike typical depression, individuals with atypical depression may exhibit distinct symptoms and require a different approach to treatment. Recognizing the unique features of atypical depression is crucial for accurate diagnosis and effective intervention. In this article, we delve into the world of atypical depression, exploring its symptoms and discussing potential treatment options. By shedding light on this lesser-known variant, we aim to enhance awareness and support those grappling with atypical depression.


By Editorial Team and supported by We Level Up FL, referred to as We Level Up Tamarac FL
Editor Yamilla Francese
Clinically Reviewed by Lauren Barry, LMFT, MCAP, QS
Medically Reviewed by Ali Nikbakht, PsyD
Updated on November 9, 2023 — Editorial Policy | Research Policy

What Is Atypical Depression?

Atypical Depression (a.k.a. Atypical Depressive Disorder) is a subtype of depression characterized by a distinct set of symptoms that deviate from the typical presentation of the disorder. Unlike the classic form of depression, individuals with atypical depression may experience a unique pattern of symptoms that include mood reactivity, increased appetite or weight gain, excessive sleep or excessive sleepiness (hypersomnia), and a feeling of heaviness in the limbs known as “leaden paralysis.”

Atypical depression can coexist with other forms of depression and anxiety disorders, further complicating the diagnosis and treatment process. Understanding the specific symptoms and unique characteristics of atypical depression is crucial for accurate diagnosis and the development of effective treatment strategies.

Atypical Depression Symptoms

Atypical depression is characterized by a distinct set of symptoms that differentiate it from other forms of depression. Here are some common symptoms associated with atypical depression:

  • Mood Reactivity: Unlike classic depression, individuals with atypical depression experience temporary improvements in mood in response to positive events or situations. They may feel better momentarily when something positive happens in their life.
  •  Increased Appetite or Weight Gain: People with atypical depression often have an increased appetite and a tendency to overeat, particularly craving carbohydrate-rich foods. This can lead to significant weight gain or difficulty losing weight.
  •  Hypersomnia: Excessive sleep or excessive sleepiness (hypersomnia) is a hallmark symptom of atypical depression. Individuals may find it challenging to wake up in the morning and feel the need to sleep for prolonged periods. They may still experience persistent fatigue and low energy levels despite excessive sleep.
  •  Leaden Paralysis: Atypical depression can cause a feeling of heaviness or paralysis in the arms and legs, commonly called leaden paralysis. This sensation makes the limbs feel weighed down, leading to difficulty performing everyday tasks.
  •  Rejection Sensitivity: Individuals with atypical depression may be susceptible to perceived rejection or criticism from others. Even minor instances of disapproval can trigger intense emotional reactions and feelings of worthlessness.
  •  Social Impairment: Atypical depression can interfere with an individual’s ability to engage in social activities and maintain relationships. The symptoms may lead to social withdrawal, isolation, and diminished interest in previously enjoyed activities.
  •  Seasonal Pattern: Some individuals with atypical depression may experience a seasonal pattern, where symptoms worsen during specific seasons, such as winter, and improve during others.

Everyone’s experience with atypical depression may vary, and not all individuals will exhibit the same combination or severity of symptoms. Consulting with a mental health professional is crucial for an accurate diagnosis and appropriate treatment.

Atypical depression is a subtype of depression characterized by a distinct set of symptoms that deviate from the typical presentation of the disorder.
Atypical depression is a subtype of depression characterized by a distinct set of symptoms that deviate from the typical presentation of the disorder.

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Atypical Depression We Level Up Mental Health Center Tip

For those experiencing atypical depression, incorporating healthy habits into daily life can be helpful. Establishing a consistent routine, prioritizing regular exercise, and maintaining a balanced diet are essential. Seeking social support and engaging in activities that spark joy can also counteract symptoms. Additionally, consider professional help, such as therapy or counseling, to explore tailored coping strategies and address underlying emotional challenges associated with atypical depression.

Depression Fact Sheet

Depression Overview

Depression is a group of illnesses like depression or bipolar disorder connected to mood elevation or depression.

Types of Depression

Clinical Depression: A mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life.

Persistent depressive disorder: A mild but long-term form of depression.

Bipolar disorder: A disorder associated with episodes of mood swings ranging from depressive lows to manic highs.

Bipolar II disorder:  A type of bipolar disorder characterized by depressive and hypomanic episodes.

Postpartum depression: Depression that occurs after childbirth.

Depression Treatments

  • Support group: A place where those pursuing the same disease or objective, such as weight loss or depression, can receive counseling and exchange experiences.
  • Cognitive behavioral therapy: A conversation treatment that aims to change the negative attitudes, actions, and feelings connected to psychiatric discomfort.
  • Counseling psychology: A subfield of psychology that handles issues with the self that are connected to work, school, family, and social life.
  • Anger management: To reduce destructive emotional outbursts, practice mindfulness, coping skills, and trigger avoidance.
  • Psychoeducation: Mental health education that also helps individuals feel supported, validated, and empowered
  • Family therapy: psychological counseling that improves family communication and conflict resolution.
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Depression Statistics

One of the most prevalent mental diseases in the US is major depression. Some people with serious depression may experience substantial impairments that impede or restrict their capacity to engage in important life activities.

21 million

An estimated 21.0 million adults in the United States had at least one major depressive episode. This number represented 8.4% of all U.S. adults.

Source: National Institute on Mental Health

10.5%

The prevalence of major depressive episodes was higher among adult females (10.5%) than males (6.2%).

Source: National Institute on Mental Health

17.0%

The prevalence of adults with a major depressive episode was highest among individuals aged 18-25 (17.0%).

Source: National Institute of Mental Health

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