According to Wikipedia’s article on transcranial magnetic stimulation, TMS is a safe, non-invasive procedure that uses magnetic fields to stimulate specific areas of the brain â with FDA-cleared applications for depression, OCD, and now smoking cessation.
Youâve probably heard of depression before, but you might not have heard of atypical depression. This sub-variant leads to more inconsistent mood symptoms, which can make people think that they donât have depression at all. And it tends to afflict people with another psychiatric diagnosis, like bipolar disorder or cyclothymia. Letâs dig into what atypical depression is and your treatment options. Depression is a mood disorder that makes you lose interest in the things you used to enjoy. But it comes in many forms and looks and feels different for different people. The Diagnostic and Statistical Manual lists five main variations, which are:
Disruptive Mood Dysregulation Disorder
Major Depressive Disorder (MDD)
Persistent Depressive Disorder (or dysthymia)
Premenstrual Dysphoric Disorder
Depressive Disorder Related to a Medical Condition
Each of these mood disorders share similar symptoms. People with all forms of depression share sadness, irritability, and somatic or cognitive changes. Yet their treatment options may be different because of the root cause of their symptoms. Atypical depression is categorized under Major Depressive Disorder, yet there are some specific symptoms that make it distinct from others on the list. Between 15% and 36% of depressed people are thought to have atypical depression. And its differences mean that you may get different treatments recommended. Transcranial Magnetic Stimulation (TMS) is an innovative treatment that uses magnetic impulses to change the brain. We use it to help people with treatment-resistant depression, Post-traumatic stress disorder, bipolar disorder, and more. KarmaTMS is an integrative psychiatric and TMS treatment center in Palm Desert, California. Depression is different for everyone. Maybe youâve looked up the symptoms of depression and felt like they didn’t represent your situation. Maybe youâve tried medications and therapy without relief. To give you more information about depression variations and their options, weâre getting into what atypical depression is and your treatment options.Â
What Is Atypical Depression?Â
âAtypicalâ doesnât mean that this form of depression is strange or unusual. It just means that you may experience the symptoms you normally associate with depression, along with a few others. Here are some additional symptoms someone with atypical depression may experience:
Temporary mood improvements, which may be mistaken for permanent changes in the moment. Itâs sometimes called mood reactivity. This is usually in response to real or potential positive life events.Â
Because these fluctuations in mood happen in addition to regular depression symptoms, atypical depression is sometimes called major depression with atypical features. In addition to mood reactivity, having two or more of the following symptoms may mean your depression is atypical:
Appetite increases and weight changes
Sleeping excessively
Feeling heavy in your legs and armsÂ
Feeling very sensitive to criticism or rejection, which leads to problems in your social life and at work Â
These added symptoms define atypical depression. But letâs break down the key differences between atypical and Major Depressive Disorder.Â
Whatâs the Difference Between Typical and Atypical Depression?
Major depressive disorder (or more âtypicalâ depression) is more like atypical depression than not. They share most of their characteristics. To understand the core differences between Major Depressive Disorder and atypical depression, refer to the chart below:
Symptom
Major Depressive Disorder
Atypical Depression
Sadness
Yes
Yes
Emptiness/Loss of interest
Yes
Yes
Irritation
Yes
Yes
Memory problems and other cognitive changes
Yes
Yes
Mood reactivity
Maybe
Yes
Increase in appetite and weight
Maybe
Yes
Excessive sleeping
Maybe
Yes
Feeling heavy in the legs and arms
Maybe
Yes
Very sensitive to rejection and criticism
Maybe
Yes
Since atypical depression is a sub-category within major depressive disorder, they have a lot in common. But keep in mind that you donât have to have every single one of these symptoms for months before getting help. You only need two of the extra atypical symptoms to qualify as atypically depressed. If youâve felt sad or empty for two weeks or more, itâs not too early to speak with a professional. Major Depressive Disorder and atypical depression are pervasive, painful mood disorders that make regular life so much harder. Both may require treatments like medications, therapy, TMS, lifestyle changes, and more. But before we start talking about treatment, letâs understand who is most likely to be impacted by atypical depression.Â
Who Is Most at Risk for Atypical Depression?Â
Atypical depression can happen to people regardless of gender, age, or history. But certain people are more at risk. Atypical depression can also put you more at risk for other mental health diagnoses, like bipolar disorder. Atypical depression happens more commonly within these groups of people, although anyone can suffer with this disorder:1
Women (and people who are assigned female at birth) are more than twice as likely to show symptoms of atypical depression compared to men.Â
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Atypical depression tends to begin in the early teens to mid-twenties, so people within this age group should be aware of its symptoms.Â
People with a history of other mood disorders, such as bipolar and anxiety, may be more at risk for developing atypical depression.Â
Those with a history of trauma, such as abuse or major injuries, may also have an increased risk for atypical depression.Â
Anyone with a history of substance abuse is more at risk for depression and atypical depression.
 Early treatment can help prevent atypical depression from spiraling out of control. So letâs talk about what treatment for atypical depression may look like.Â
How Do You Deal With Atypical Depression? The Next Steps and Treatment
Atypical depression is most commonly treated with psychiatric medications and psychotherapy. If you havenât been diagnosed yet, your psychiatrist will do a thorough symptom evaluation before starting treatment. Antidepressant medications are commonly prescribed for atypical depression. These include Selective Serotonin Reuptake Inhibitors (SSRIs) and Monoamine Oxidase Inhibitors (MAOIs). In addition to medications, seeing a psychotherapist may help you understand your thoughts and make positive changes. Combining medications and therapy is still the first-line treatment for depression. Yet there are still people who donât get relief from medications and therapy for their depression, and this is incredibly frustrating. Luckily there are more options for treatment-resistant depression today than ever before. We specialize in helping these people recover from depression and other mental health diagnoses. So letâs talk about TMS for atypical depression as a treatment option for you.Â
Does TMS Work for Atypical Depression?
Atypical depression hasnât been studied separately from Major Depressive Disorder in relation to TMS. But since the two are similar, we can expect similar outcomes for people with atypical depression. In recent research, up to 70% of people with depression noticed that their symptoms improved after TMS. Whatâs more, TMS doesnât just help with âstandardâ symptoms of depression like sadness and anger. Itâs also been shown to improve other mental health problems and diagnoses. In trials, TMS not only helped with depression symptoms but with these parallel symptoms as well.6 So itâs pretty promising that TMS therapy can continue to help treat atypical depression. If you think you have atypical depression and want to get treatment, or youâre interested in TMS therapy, what are your next steps?
KarmaTMS: Your TMS Therapy Resource
The KarmTMS team is your resource for evidence-based information about integrative mental health and TMS therapy. No matter where you are on your mental health journey, we can help. We work hard to make sure you have all the information you need to make informed decisions about your health. Check out these resources for learning more about atypical depression and treatment:
If youâre looking for a new psychiatric treatment partner and you want to learn more about our practice, you can read about our services or view our providerâs page.Â
If youâre ready to get started on your integrative psychiatric treatment plan, use the Book Online button at the top right of our homepage.Â
Atypical Depression: Youâre Not Alone
Atypical depression is a painful thing to struggle with. Its symptoms can make life feel like a rollercoaster of hope and helplessness. And the reality is that standard treatment options arenât working for many people. The good news is that wherever you are in your depression journey, youâre not alone. All forms of depression can make you feel like youâre struggling all by yourself. But the team at KarmaTMS and KarmaDocs are here for you, whether you need support for atypical depression or any other mental illness.Â
