Tx of subtypes as per KS
atypical : MAOI, SSRI, buproprion
seasonal: light
psychotic: AA, or ECT
RF for conversions to BD
Early onset, psychotic features, family history of BAD, mixed features, atypical features
old GL? 2006 rec for atypical
Recommendations for Treatment of Major Depressive Disorder with Atypical Features
First-line treatments
• Fluoxetine, moclobemide, sertraline (Level 2 evidence).
Second-line treatments
• Phenelzine (Level 2 evidence).
Third-line treatments
• Imipramine (Level 2 evidence)