II. Epidemiology
- High risk for Suicide
III. Symptoms
- Hypersomnia
- Hyperphagia
- Carbohydrate craving
- Weight gain
- Interpersonal rejection sensitivity
- Heavy or leaden paralysis or arms and legs
- Mood reactivity
IV. Diagnosis
- Over-eating with Hypersomnia is a sensitive marker
V. Management
-
MAO Inhibitor
- Phenelzine (Nardil) 45-90 mg PO in divided doses
-
Selective Serotonin Reuptake Inhibitors (SSRI)
- Not as affective for Atypical Depression