Melancholic Depression: Symptoms, Causes and Treatments

Melancholic depression is a formula of major depressive disorder that shows with melancholic characteristics. Although melancholic depression is regarded as a different disorder,however, the US Psychiatric Association doesn’t identify it as a separate mental disorder.

As a subtype of MDD, Melancholic Depression describes by continual and strong feelings of blues and hopelessness.

The condition can severely impact many parts of life such as the workplace, school, and relationships.

It may also affect mood and behavior along with many physical functions, such as craving and sleep.


Melancholic Depression


People with major depressive disorder regularly lose interest in daily activities which they enjoyed once. Sometimes, they may also feel like life is worthless.

The type and severity of MDD signs vary from person to person. Some people feel traditional symptoms of major depressive disorder, while others feel other patterns, for example, melancholia and catatonia. Most signs can be deal with treatment, which may involve medicine and talk therapy.


Symptoms of Melancholic Depression


Melancholic depressive people may have:


  • Persistent feeling for a longer period.
  • Loss of interest in events those was enjoyable before.
  • Lack of energy or feeling exhausted.
  • Nervous or cross feeling.
  • Sleeping and eating excessively or too little.
  • Change in body movement (like shaking a leg while you didn’t earlier)
  • A problem in making decisions, concentrating and memorizing things
  • A suicidal attempt.
  • Lack of reaction to positive events and news.
  • Sleep Troubles.
  • Significant weight loss
  • Persistent feels of too much guiltiness.


Melancholic features commonly happen in a person who regularly feels severe symptoms of a major depressive disorder. They are also seen more frequently who has the major depressive disorder with psychotic features.

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Diagnosing Melancholic Depression


As a subtype of MDD, Melancholic Depression describes by continual and strong feelings of blues and hopelessness. To diagnosis, a doctor will generally ask some of the questions like:


  • Do you have the problem to get out of bed in the morning?
  • Are your signs generally worse in the morning or in the evening?
  • What is your sleeping pattern?
  • Do you change your sleep posture?
  • What do you think about a typical day?
  • Did you change your daily routine recently?
  • Do you like to do the same things you enjoyed once?
  • What, if anything, improves your mood?
  • Are you feeling more problems in concentrating than normal?


 Melancholic Depression Treatments:


# Antidepressants for Melancholic Depression:


A major depressive disorder is often cured with newer antidepressants, for example, selective serotonin reuptake inhibitors — some of the conventional medicines, such as citalopram (Celexa), fluoxetine (Prozac), or paroxetine (Paxil).

But, Major depressive disorder with melancholic features may react better to older antidepressants, for example, the monoamine oxidase inhibitors, tricyclic antidepressants, or serotonin-norepinephrine reuptake inhibitors.

These medicines help stop the breakdown of norepinephrine and serotonin in the brain; those produce a higher volume of “good feeling” chemicals.

Occasionally, certain atypical antipsychotics, for example, Abilify (aripiprazole) may be applied to boost the effects of antidepressants.


# Talk therapy for Melancholic Depression:


Talk therapy is usually applied to treat the major depressive disorder with melancholic features. A mixture of these two treatment procedures is more effective than other methods. Talk therapy involves talking with a psychotherapist often to discuss issues. It can show the way to:

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  • Adjust to a stressful event
  • Change negative views and behaviors positively.
  • Develop communication skills
  • Deal with challenges and solve difficulties
  • Increase self-confidence
  • Improve a sense of judgment in life
  • Group therapy can give you the ability and help in the same way to share your feelings with people who can tell.

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