Melancholic depression 2868177 224728892 2008-07-10T04:10:20Z 76.214.176.21 /* Diagnostic criteria (DSM-IV-TR) */ '''Melancholic Depression''', or 'depression with melancholic features' is a subtype of [[Clinical depression#Major depressive episode|major depression]] characterized by the inability to find pleasure in positive things combined with physical agitation, insomnia, or decreased appetite. Roughly 10% of people with depression suffer from Melancholic Depression. ==Diagnostic criteria (DSM-IV-TR)== The [[DSM-IV-TR]], a widely used manual for diagnosing [[mental disorder]]s, defines Depression with Melancholic Features as a subtype of depression characterized by: # At least one of the following: ## Loss of pleasure in all, or almost all, activities ## Lack of mood reactivity to usually pleasurable stimuli (can't feel much better, even when something good happens) # At least three of the following: ## Distinct quality of depressed mood (i.e., the depressed mood is experienced as distinctly different from the kind of feeling experienced after the death of a loved one) ## Depression is regularly worse in the morning ## Early morning awakening (at least 2 hours before usual time of awakening) ## Marked [[psychomotor retardation]] or [[Psychomotor agitation|agitation]] ## Significant [[anorexia (symptom)|anorexia]] or weight loss ## Excessive or inappropriate guilt == See also == *[[Melancholia]] *[[Clinical depression|Clinical Depression]] *[[Atypical depression|Atypical Depression]] [[Category:Mood disorders]] [[fr:Mélancolie]] [[io:Melankolio]] [[fi:Melankolinen masennus]]