Treatment options
- Medication
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- SSRIs and SNRIs are still commonly used and often effective, though the evidence is mixed.
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- Bupropion may also help, specifically for symptoms like hypersomnia and low energy.
- Psychotherapy
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- Cognitive behavioral therapy (CBT) is efficient for managing rejection sensitivity and harmful thinking patterns.
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- Interpersonal therapy (IPT) can help address relationship issues, which are often substantial in this subtype.
- Lifestyle support
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- Regular exercise (moderate to high intensity).
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- Structured sleep routine.
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- Balanced diet (reducing simple carbs and sugar, which are often craved in atypical depression).
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