DEPRESSION VS. DEPRESSION 
Author Message
 DEPRESSION VS. DEPRESSION

There are basically two sets of stimuli that cause/lead to depression. Internal
and external.  The old "organic" (internal) depression is common in severely
ill people, terminal patients and UNDERTREATED medical patients.  It merely
expresses a suppressed longing for well-being and general good health ("like
before"...).  Quite frankly, the patient KNOWS he/she is NOT going to get well.

 This proves true in about 99% of the cases.  "Faking" and euphorics or mood
elevators just don't seem to work too well...  Nothing else seems to work
either.  These patients are usually "tricked" through "involvement", but return
to moping as soon as the temporary distraction is over.
The external depressions are many.  Someone out of a job, deep in debt and with
no prospects is far from someone who lost a beloved spouse of 23 years of
marriage to cancer or to someone whose two parents (mother and father) have
just died in an aircraft accident.

Perhaps it would be well to explain to those of us not directly involved in
patient psychiatric care, why is it that ALL depressions, REGARDLESS OF CAUSE,
are "alike", treated similarly and, apparently, enter remission in the same
manner.  Would someone do this, please.  Thank you in advance.

While the mechanism of onset may be the same, the differing etiology ALWAYS is
responsive to individualized variation in treatment.  The
"{*filter*}" (no offense...) methods work well UNTIL someone reminds the former
depressed patient of the circumstances and triggers a real REACTIVE
depression which suddenly becomes so deep seated that nothing short of true
psychoanalysis (whether Freudian or not is immaterial) will bring and restore
the personality to its former self image, valuation and respect.
What are we dealing with here? A HISTORICAL PICTURE PERSPECTIVE, of 25 years
duration.  [You cannot "memory" the "good old days" without the concomitant
short term memory of death, privation, suffering and loneliness.  I.e.: "well,
that's over now is a *rationalization*, a mind lie to emotions, feelings and
thoughts trained, groomed and composed over a major time period.]
One last question, please.  What is the mechanism of removal of depression?
Thank you again.

{Please forgive me, but what you are saying is this:  To the Husband:"Don't
worry, I'll teach you how to forget her and live without her so it doesn't
bother you and depress you.  I'll teach you how to do this until you forget her
so much you'll actually want a DIFFERENT (or another...) person..."  I am
afraid the answer is NO.  A wife's death is nothing like a divorce.  Her death
is a death-dealing, staggering blow of monumental proportions, strong enough to
bend mind, intellect and will to SORROW, self pity, agony and self-imposed
ostracism.- [..You left her behind...]  ANY other interpretation is a tepid
realization of a state of grief and sorrow so deep that death is really
preferable to living on and facing her ABSENCE.  This is NOT the same as not
getting a promotion, losing at handball, feeling inadequate.  THIS IS A MAJOR
LIFE EVENT that threatens even sanity as the days, months and years wear on
without her return...

The answer lies within (self...), not without (psychiatrist).  NO ONE who has
suffered these dynamic personality shocks can or will say that GRIEF
and DEPRESSION are not synonimous - depression is simply "less of you".  How
much less?  Obviously only that which is NOT tied up in GRIEF - A VERY SMALL
AMOUNT, I may add.  But, to get back to your message.  How are all depressions
alike both in classification, treatment and remission?

SEEN-BY:

--  
Uucp: ...{gatech,ames,rutgers}!ncar!asuvax!stjhmc!154!414!Oscar.Salabert



Tue, 15 Dec 1992 22:05:29 GMT
 DEPRESSION VS. DEPRESSION

All depressions are *not* alike, in any way you mentioned.  In fact, NO
depression is alike, and this was exactly my point.

As to somebody who just lost his wife (if this person comes to me), I'd hear
him out and ask, something like, "This is a terrible blow.  How do you think I
can be useful to you at this point".  The rest would depend on the answer and on
how the rest of the conversation goes.

Solomon Yusim



Wed, 16 Dec 1992 02:19:42 GMT
 DEPRESSION VS. DEPRESSION


Fri, 19 Jun 1992 00:00:00 GMT
 DEPRESSION VS. DEPRESSION

Quote:

> The old "organic" (internal) depression is common in severely
> ill people, terminal patients and UNDERTREATED medical patients.  It merely
> expresses a suppressed longing for well-being and general good health ("like
> before"...). Quite frankly, the patient KNOWS he/she is NOT going to get well.

I am afraid that this description is inadequate and as such is, for
the most part, obsolete. Modern theory includes neurochemical imbalances
and "secondary" symptomology. The numbers of those affected generally bandied
about are fearsome.

Bill Vajk



Tue, 22 Dec 1992 09:01:22 GMT
 
 [ 4 post ] 

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