What can cause depression
You will need
- - test "scale of depression";
- - MMPI test;
- - projective techniques for studying the sphere of conflict.
If you once woke up in a bad mood, knowing full well what problems it caused, if you understand what work you have to solve these problems, and, realizing the difficulty of the task, got out of bed and started to solve them, then this is not depression . Depression is a psycho-physiological condition with clear symptoms.
First of all, pay attention to the emotional state. There are emotions, but they are painted in negative tones, the prospects are viewed as gloomy, self-esteem is understated. This is not just a bad mood, but a decrease in the general background of the mood to negative.
Pay attention to the fact that depression is rarely found in its pure form. Symptoms may include components of obsessions. For example, constant memories of some unpleasant episode of life, dark "premonitions", pursuing the patient.Obsessive thoughts of suicide are especially dangerous.
Often the constant depression becomes a companion of depression. You may notice that anxiety is sometimes specified in fears. This may be the fear of losing your job, the fear of impoverishment, the fear of life and health (both your own and your relatives).
Pay attention to the depth of the depressive state. There are options from "just a bad mood," to severe forms, including motor and speech inhibition, loss of appetite and even loss of color perception. To determine the depth of the depressive state, you can apply psychological techniques, for example, the “scale of depression”, the results of which are very accurate.
Studying depression, you must pay attention to the fact that they are all divided into endogenous and psychogenic. Endogenous depression occurs without any external cause. They can reach considerable depth and be accompanied by somatic symptoms. For example, endogenous depression may indicate the presence of constipation and dry mouth. Sometimes endogenous depressions are cyclical (bipolar depressions), while the depressive phase is replaced by a phase of excitement and euphoria.
Endogenous depressions are caused by various diseases, including mental disorders (cyclothymia, manic-depressive psychosis, schizophrenia), and somatic disorders (for example, hepatitis). Endogenous depressions can be caused by poisoning with toxic substances, exposure to drugs, traumatic brain injuries and vascular diseases of the brain (including age-related changes).
Psychogenic depressions occur on the background of an acutely distressing situation (reactive depressions) or in the event of frustration. Frustration - a condition in which a person loses hope of achieving personal spiritual comfort. When emotional exhaustion, long stay in a state of frustration, a situation of anxious waiting, not resolving the conflict develops neurotic depression.
Emergency medicine is often confronted with acute reactive states of depression. It is known that such a state may turn into a prolonged neurotic depression. For neurotic depression, there is a conflict between the real situation and the personal needs of the person.Neurotic depression goes away if this conflict is exhausted or loses its emotional significance.
In terms of detecting and diagnosing depressions, it is especially important to detect and investigate the conflict situation and the scope of the conflict. If the patient claims that there is no reason for depression, this does not mean that it is really absent. With neuroses, subconscious repression of a conflict situation often occurs, this is a defensive reaction of the personality, and you must take it into account.
The particular difficulty in diagnosing causes the phenomenon of hidden (larvirovanny depression). The patient can laugh, joke, be the soul of the company. Complaints about well-being he has an unexpressed nature, for example: "That's just the head aches a bit ..." But a psychological examination can reveal in him a depression reaching the threatening depth.