| Melancholic depression (Traditional-type depression: TTD) | “Modern-type” depression (MTD) |
Ages | Middle age (born before 1970) | Young age (born after 1970) |
Characters | Attachment to rules | Attachment to self separately from social roles |
| Love of order, models | Distress over rules/order |
| Sympathetic | Negative feelings toward order or model |
| Obsessive | Vague sense of omnipotence |
| Honest | Not hard worker to begin with |
| Hard worker |
|
Symptoms | Agitation or retardation | Fatigue and not feeling good enough |
| Exhaustion and guilt | Avoidance and blame of others |
| Well-prepared suicide | Impulsive suicidal action |
Therapeutic relationship | Resist diagnosis of depression | Cooperate with diagnosis of depression |
| When recovered, learn from experience of depression | Tend to self-check depressive symptoms |
|
| Have difficulty departing from diagnosis (prefer to stay in “depression”) |
Drug response | Usually good | Partial response |
| Complete remission |
|
Cognition | Obtaining a new sense of role (e.g., self as a manager to self as a manager who has experienced depression) | Have difficulty departing from “I suffer from depression” |
Prognosis | Good response to rest and antidepressants | Become chronically ill only with rest and antidepressants |
| Ambivalent about change of environment | Change of environment rapidly improves symptoms |