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