Different Categories Of Depression
Endogenous depressions come from within the body. Generally, it is understood that endogenous depressions are caused by biochemical disturbances in the brain, hormonal system, or nervous system. Some endogenous depressions are the direct consequence of disease or infection.
Endogenous depressions often occur in a cyclical manner. Occasionally, the person becomes depressed, and there seems to be no reason for it. Such depressions are aggravated by fatigue and stress.
Psychotic depressions are the severest form of endogenous depression. Psychotic depressions are not influenced by personality and can overtake even a cheerful and upbeat person. They are called psychotic because the symptoms are extremely severe. Often, the symptoms include delusions of hopelessness and wickedness so bizarre that it is evident the person is out of touch with reality.
Exogenous (meaning from without) depressions are caused by one’s reactions to external stimuli, the depressions experienced in day-to-day living. Exogenous depressions are psychological in nature.
These depressions can be characterized as a form of grief, reactions to loss, part of a grieving process in which people come to terms with their loss, and part of the process of letting go. Those affected by exogenous depression experience a low mood in which they can resolve their loss.
Neurotic depressions differ from reactive depressions in that they are responses to the stresses and anxieties of life that have built up over a long period. Neurotic depressions occur when a person does not grieve over his losses in a healthy way. Rather than coming to terms with his losses, the person develops a lifestyle of self-pity. He feels down and sad and begins to wallow in these feelings. He retreats into depression as a way of escaping from anxiety.
Neurotic depression is unhealthy. It feeds on its own misery. Those who suffer from neurotic depression refuse to get out of bed and engage life. They have a pervasive sense of fear, and their depressive feelings are an escape from life. These depressions are chronic and can easily develop into lifelong patterns. They are also the most difficult to treat, especially if the sufferer does not want to be helped.
Archibald Hart, Arcadia, California.