Reactive depression or reactive psychosis - a mentaldisorder that occurs under the influence of super-strong shocks and trauma, the emotional impact on human beings.
Reactive depression, also known as psychogenic, unlike endogenous depression, independent of external influences, there immediately after the mentally traumatic events and has a clear temporal relationship with them.
Moreover, patients pathologically "centered" on the traumatic circumstances and remain dependent on them throughout the period of the disease.
Reactive depression: symptoms and causes ^
traumatic events most often the death of a loved one (especially sudden), the news of an incurable illness, family conflicts (adultery, divorce), heavy vital failures, the threat of welfare or her position ( "fear of exposure"a blow to the prestige of the arrest,
main symptoms of reactive depression:
- sense of despair and hopelessness,
- flash manifestations of despair,
- strengthening painful memories at random associations,
- different vegetative disorders (weakness, lethargy, excessive sweating, loss of appetite, insomnia, heart palpitations, weight loss, constipation).
Unlike natural grief and longing inherent in any person with a strong emotional shock, with reactive depression are characterized by extreme strength and durability.The typical posture of a depressive patient - hunched shoulders, lowered his head to his chest, lethargy and slowness of movement.
His obsessive thoughts revolve around the tragedy, and in them prevail feelings of personal guilt, remorse and self-reproach, reaching in some cases the degree of delirium.If there was a loss of a loved one, the patients blame themselves that they could not prevent the death or to relieve his suffering, if there is a difficult situation, blame yourself for the mistakes that led to a sad end, and so on. D.
Subject happened trouble, andsurrounding circumstances in his eyes becomes overvalued and over-value, so they are ready to analyze and discuss with others, these events forever.And, thinking about what happened are not directed to the past, but in the present and the future, and they are joined by obsessive thoughts about the future gloomy solitude, suffering or material troubles.
In severe cases, motor retardation patient may reach such an extent that it falls into a stupor - hours sitting or lying motionless, does not answer addressed to him questions, refuses to eat, can not do anything and take care of themselves, on the face of the deepgrief and desolation.
have personalities of hysterical warehouse, especially with a thirst for recognition and a tendency to demonstrative behavior, reactive depression may be exacerbated by hysterical symptoms - the patient throw up their hands, often behaves - childish, loud crying, fainting and can make demonstrative suicide attempts.
Despite the fact that others are often considered hysterical behavior in the usual blackmail and a desire to manipulate relatives, attempts demonstrative suicide to ignore in any case it is impossible, since the attacks of despair from misunderstanding and lack of attention, typical reactive (situational) depression can trigger atthe patient's real desire to commit suicide.If symptoms of depression accompanied by suicidal intent, is always needed urgent hospitalization in a psychiatric hospital.
Diagnosis and treatment of reactive depression ^
Contrary to the stereotype that ill Reactive depression may just emotionally unstable and "vulnerable" person, doctors say that to get depressive disorder may be any person, and it depends, to a greater extent, notof the features of his character, and on the nature and relevance of mental trauma.
Clinical studies show that psychological reactions to the same situation may be different, not only from person to person, but the same person can - respond differently to the same situation in different periods of time.
unfavorable background, weakening resistance to stressful moments can become:
- head - injuries,
- emotional stress,
- age crises,
- seriously injured,
- various somatic diseases.
Very often reactive psychosis passes itself - or after the resolution of traumatic situations, either by accident a certain time interval from trauma.However, in many cases, especially if it is impossible to isolate the patient from the traumatic effects of his psyche, required medical treatment.
most often reactive psychosis, requiring immediate treatment, developed in a judicial situation (the arrest, waiting for the verdict, the investigation, imprisonment).Forensic doctors described numerous cases of diagnosis of reactive depression with symptoms of hysterical twilight stupefaction, hysterical stupor, delusional fantasies of delusional psychogenic psychoses and other pathological conditions.
Forecast treated early reactive depression is very favorable.To treat an acute condition is usually prescribed:
- antipsychotics, quickly blocking anxiety, fear and the phenomenon of psychomotor agitation,
- In addition, these patients demonstrated long-term treatment with antidepressants, which overturned only after the complete disappearance of the symptoms of emotional depression, and hypnotics, relieves insomnia.
Selecting the treatment regimen should be performed only by a doctor - a psychiatrist, depending on the depth and structure of the depressive disorder.An important additional element in the treatment of psychogenic depression is psychotherapy, which helps to structure the emotions, "work through" the traumatic memories and to reduce the affective tension.
experienced therapist, through the use of modern techniques of relaxation and hypnosis, not only will provide the necessary support and sympathy for the patient, but also help to find alternative solutions to a particular traumatic problems.
See Also video clip of a famous doctor - psychotherapist Elman Osmanov about symptoms and current treatment of depression: