The DSM-5 classifies atypical features as a specifier for depression, meaning it’s a “flavor” of depression rather than a separate disorder.
To be diagnosed with depression with atypical features, a person needs to have:
- Mood reactivity
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- Defining symptom: Your mood can temporarily brighten in response to positive events. (Unlike in typical depression, where mood stays flat even with good news.)
- Plus at least two of the following:
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- Increased appetite or significant weight gain (vs. typical depression, which often involves weight loss).
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- Hypersomnia (sleeping too much, often 10+ hours per night).
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- Leaden paralysis (a heavy, lead-like feeling in arms or legs, notably in the morning).
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- Rejection sensitivity (extreme sensitivity to perceived or real rejection, affecting work or relationships).
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