Psychogenic depression is a disorder caused by external traumatic factors. The manifestations of psychogenic depression begin quite sharply and the patient can clearly understand the cause of the depression that has appeared.
Allocate psychogenic depression of the neurotic and psychotic levels.
Within the framework of psychogenic depressions of the neurotic level, we are usually talking about relatively shallow disorders, in the clinical picture of which the main place belongs to a melancholy mood, often with tears, with a feeling of inferiority, sadness, melancholy. Asthenia, hysterical manifestations, obsession often join . The severity of such conditions is aggravated by the evening.
Psychogenic depressions of the psychotic level (reactive psychoses) are characterized by the appearance of anxiety and fear after psychogeny , often with psychomotor agitation or inhibition. Against the background of a depressed mood, phenomena of depersonalization, derealization , senestopathic- hypochondriacal disorders may occur , rarely – individual pueril, pseudodement manifestations. Against the background of growing depression, ideas of attitude, persecution, accusations, thoughts of suicide may appear .
Symptoms of psychogenic depression
- violation of the sleep-wakefulness regime;
- thoughts of suicide;
- intensification of symptoms in the evening.
Often, with psychogenic depression, self-esteem decreases, nevertheless , patients do not blame themselves, but people who have something to do with the injury.
The psychological development of the dynamics of mental changes in personal loss is interesting. Most of the patients in the time of 1 stage are in a state of stupefaction . This is followed by a longer period of searching for the lost. At this time, the lonely partner is not yet fully aware of what happened. Then anger joins the sadness. During this period, a person often passes from one state to another. Time-consuming recovery goes through a painful process of sadness.
The course of psychogenic depression depends on the severity and duration of psychogenic trauma , the characteristics of premorbid , and on the timeliness and quality of psychotherapeutic and psychopharmacological treatment.
The neurotic stage in the development of psychogenic depressions is characterized by the lability of symptoms and somatic equivalents of depression, often masking the leading depressive affect. In this regard, such patients are often under the supervision of general practitioners. It is believed that the vital components of depression are absent in depressive reactions.
Psychotherapy is a very effective treatment for psychogenic depression. In combination with the advice of a psychotherapist, the patient is prescribed antidepressants that will help him to work productively on himself.