Melancholic Depression (also known as Major Depressive Disorder with melancholic features in the DSM-5, and previously as “endogenous depression”) is a subtype of depression characterized by a severe loss of pleasure and prominent physical symptoms. Classic melancholic depression features include insomnia, weight loss, and psychomotor changes. The DSM-5 specifier “with melancholic features” is also used as a diagnosis specifier in bipolar disorder.
1
of the following is present during the most severe period of the current episode:
3
or more of the following:
2
hours before usual awakening)