Atypical Depression: What It Is & What Meds Work
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- Опубліковано 18 лют 2024
- 🌟 Welcome to today's deep dive into Atypical Depression 🌟 - a subtype of major depression that doesn't always get the attention it deserves. I'm here to shed light on what atypical depression is, its unique symptoms, and the treatments that may work better for those affected by it. 📚✨
Back in my psychiatry residency training in the 1990s, distinguishing between subtypes of depression was crucial for effective treatment. This knowledge remains vital today, as it helps in selecting the most appropriate medication for each individual. 🧠💡
Atypical depression is marked by mood reactivity, increased appetite or weight gain, hypersomnia, leaden paralysis, and interpersonal rejection sensitivity. Recognizing these signs can be a game-changer for those struggling with this form of depression. 🌈🍽️😴
In this video, I not only explain the characteristics of atypical depression but also delve into the historical and current treatment options. While SSRIs and SNRIs are commonly prescribed, research and clinical experience show that MAOIs and certain other medications might offer significant relief for those with atypical depression. 🏥💊
However, treatment is not one-size-fits-all. Lifestyle interventions like diet, exercise, and psychotherapy play crucial roles in recovery. 🥗🏃♂️💬
I hope this video empowers you to have informed discussions with your healthcare provider about the best treatment plan for you. Remember, this video is meant for educational purposes and not individual medical advice. 🗣️👥
If you find this information valuable, please give it a thumbs up and consider subscribing for more content focused on empowering you with knowledge about mental health and well-being. Your support helps me create more videos like this. 🙏💖
Share your thoughts and experiences in the comments below. Let's keep the conversation going. Thanks for watching, and see you in the next video! 🎥👋
#AtypicalDepression #MentalHealthAwareness #Empowerment #Psychiatry #Medication #SelfImprovement #HealingJourney
I'm Dr. Jeff Knuppel, a psychiatrist (M.D.) with over 20 years of practice experience. I'm a licensed healthcare professional (physician) in the U.S. My goal is to create helpful and interesting videos about mental health and self-improvement. If these topics interest you, please subscribe so that you don't miss any new videos when they are released. Thank you!
DISCLAIMER: This channel is for general informational purposes only and does not constitute the practice of medicine or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on or linked to from this channel is at the user’s own risk. Please consult your healthcare professional before making any changes in your treatment. I do not respond to requests for medical advice, either as comments/questions on this channel or as direct messages to me.
Nardil saved my life after I suffered atypical depression for 9 years in my 20s. I have taken it consistently-except through two pregnancies-for 35 years. I am very worried about the consequences of such long term use, but I can find very little research on this issue. I had a hypertensive crisis in my early 50s that resulted in a brain hemorrhage and neurosurgery. Still, my quality of life is far better on it than off it.
Thank you for sharing your experience. I’m not aware of any long-term harm from Nardil. When I’ve worked with patients who came to me on it, their stories were similar to yours in that they had finally found an antidepressant that worked for them, and they had therefore usually already been on it for years.
Thank you for your video. This is really informative and of high quality. I have all the symptoms that you have listed except Leaden paralysis. In addition to these symptoms I also suffer with poor attention and inability to focus. Recently I visited two psychiatrists in a span of two days. One diagnosed me with atypical depression and wanted to treat me with Fluoxetine ( SSRI ). The second psychiatrist said that my test results are not strongly indicative of ADHD but my description is suggestive of it. The second psychiatrist said that I would benefit from ADHD medicines and wants to treat me with Atomoxatine ( SNRI ).
Thank you for your comment - I’m glad it was helpful. I hope you can get some help with whatever you’re struggling with. It’s frustrating when you get such different answers from different psychiatrists.
Have been on Parnate for about 8 weeks now, only 2 weeks on 30mg though. Fingers crossed it works for me, as 30 + others haven’t. :-(
I hope it works for you. That’s a lot of med trials to go through.
Speaking for myself, leaden paralysis episodes were very close to being just that, where effort to move my limbs at all was not forthcoming. On the plus side, there was no pain at all during these episodes! My depression was early onset, say, by about 12 years old. SSRI drugs were mediocre, with snri being a nightmare.
So for over 10 years Selegiline MAOI at 30+ mg per day has been profound. I actually don’t feel like I’m taking anything in that there’s no blunting of affect, I still get sad and cry in situations, etc. That said, I do still struggle with overall energy but am able to manipulate my rest vs activity times so I can do work tasks when I need to and crash on a schedule of my own making. Another plus is I don’t long to be dead anymore, which is saying something. Frankly the toughest thing is dealing with the financial precipice I’m on due to a lifetime of poor earnings resulting from depression unsuccessfully managed for so long before. Overall I manage quite well on MAOI med and vit B supplements. But no one will call me Perky 😁
Thanks for sharing all of that!
Thanks. Very helpful!
You're welcome! Thanks for watching and for your comment.
What dose do you personally use with Parnate for TRD and anxiety? max dose?
In Australia, the guidelines suggest 30mg is the max, but I see other countries it is 60mg.
I have to try and convince my psychiatrist to let me go above 30mg. :(
For a given patient, I use the lowest dose that is effective and tolerated. In the US, the FDA recommended max daily dose for Parnate (tranylcypromine) is 60 mg.
Ive chronic atypical depression , non ssri have worked for me , only desvenlafaxine, but partially what can i agument to boost the antidepressant effect?
There are actually quite a few options-that’s a pretty big topic though and not something I can give you a quick answer to. You should definitely discuss this with your prescriber. Your question may be a good topic for a future video.
What are your thoughts on mirtazapine please
Mirtazapine is a useful med for the right circumstances (especially for someone with depression who is having trouble sleeping and has a low appetite since it tends to be sedating and increases appetite). But atypical depression typically involves excessive sleeping and appetite, it would not typically be one of my first several choices for it.
@@JeffreyKnuppelMD thanks 👍
I have tried so many and I have a problem with really bad side effects