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Types of Depressive Disorder
Reactive depression or depressive reaction is called the state associated with external causes, loss, resentment or difficult living circumstances (eg, death of loved ones, professional failures, war, national disaster).
Depressed development is the impact of a number of blows and microtraumas (unusual cruelty of fate, for example, the father of alcoholism, bitter and unfeeling mother, with failures in school, extra-marital pregnancy, frustrated professional plans, the loss of good friends). Many psycho-social norms, because of which there are long-term micro-traumatic problems (problems with a partner on the basis of neatness, punctuality, fairness, thrift, etc.) can also lead to fear, aggression and depression.
Neurotic depression occurs when someone consciously or unconsciously provoke recurring conflicts, despite the fact that one had learned by bitter experience (the choice of an married partner, career choices and selection of staff, eternal seekers, etc.). Psycho-social norms play a crucial role here, if someone, for example, knows that the partner is particularly appreciates neatness, punctuality, thrift, etc., but behaves in a way that specifically trigger the conflicts because of these qualities. With the predominance of the concept of courtesy, we usually talk about the hidden-depressive form, with the predominance of openness - about the agitated-depressive form.
Patients with masked depression is not able to express depressive affect or depressive thinking. Disorders are concentrated in bodily symptoms, for example, complaints from the heart, head, shoulder girdle, back pain, digestive problems, sleep disorders and appetite disorders, gynecological disorders and disorders in the sexual sphere. There, behind these complaints are professional and partnership problems: anxiety about the future, which often grow from micro-traumatic situations.
In Endogenous depression, reactive to factors and events of the outside world is reduced. An important role is played by internal experience. Such a person feels the range of problems and micro-traumatic situations as inevitable strokes of fate with a strong sense of guilt. Any initiative is perceived as a burden ("Inviting guests is a mess, cooking and expenses"); the positive aspects (the guests can help, they may give rise to restore order, etc.) are not counted.
While the patient avoids situations that causes him stress, he feels a sense of guilt, hopelessness, desire for death, loneliness, emptiness, depression and self-loathing - he gets into a vicious circle. This process involves both biological and psychological and metaphysical factors.
Symptomatic depression is caused by somatic disease (susceptibility to infections, diabetes, thyroid disease, fluctuations in blood pressure, rheumatic diseases, allergies, craving, etc.) and depends on how the patient learned to treat his illness.