A 40yo woman presents to the GP with low mood

A 40yo woman presents to the GP with low mood. Of note, she has an increased appetite and

has gone up 2 dress sizes. She also complains that she can’t get out of bed until the afternoon.

What is the most likely dx?

a. Pseudo depression

b. Moderate depression

c. Severe depression

d. Dysthymia

e. Atypical depression

Ans. The key is E. Atypical depression. [Atypical depression is a subtype of major depression or dysthymic disorder that involves several specific symptoms, including increased appetite or weight gain, sleepiness or excessive sleep, marked fatigue or weakness, moods that are strongly reactive to environmental circumstances, and feeling extremely sensitive to rejection].