What kind of features would you see during a depressive episode classified as "With Atypical Features"?

A depressive episode classified as "With Atypical Features" is characterized by specific symptoms that distinguish it from other forms of depression. Among these features, weight gain and hypersomnia are particularly notable.

Individuals experiencing atypical depression often exhibit significant changes in appetite, leading to weight gain, rather than the weight loss more commonly associated with other depressive episodes. Hypersomnia, or excessive sleep, is another hallmark symptom of atypical features, contrasting with insomnia, which is more typical in major depressive disorder.

The other features listed are more aligned with general depression symptoms. Sustained feelings of emptiness, persistent feelings of guilt and worthlessness, and consistent negative self-assessment are important indicators of typical major depressive episodes but do not specifically indicate atypical features. Thus, while they may appear in individuals suffering from depression more broadly, they are not exclusive to or defining of atypical depression.