Which statement is least typical of severe major depressive disorder?

• A. Withdrawn behavior
• B. Sits in room with lights out
• C. Unkempt appearance
• D. Overeating

Answer: (D)

Severe major depressive disorder typically shows pronounced withdrawal from others, low energy, poor self-care, and noticeable changes in sleep and appetite, with weight loss being more common than weight gain. A person who isolates themselves, sits in a room with lights out, and appears unkempt demonstrates this pattern of severe depressive features. Overeating, while possible in some depressions, is more linked to atypical depression, where mood can be reactive and weight gain is common. So overeating is the least typical feature of severe MDD.