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Endogenous chronic depression: symptoms and treatment

by Alivia Nyhan
Published: Last Updated on

There are ailments not only of the body, but also of the mind and the emotional world that, without physically disabling us, can turn off the will and turn our internal world against even when what surrounds us and those around us prove otherwise. One of these situations is depression.

Now, when we mention chronic depression, it is usually associated with external factors that produce a trauma or psycho-emotional condition strong enough for the person to decay for a long time. However, not all depression has its causes or triggers externally because, as the mind and the body are one, some factors in our body and in our lifestyle habits can also lead to what is called endogenous chronic depression, in the which if these internal variables are not taken into account, it will hardly be possible to find a way out of such discomfort. Next in FastlyHealwe will address endogenous chronic depression: symptoms and treatment .

Depression: definition and symptoms

Two of the most important diagnostic manuals, the ICD-10 and the DSM-IV / V, agree that prior to the diagnosis of depression, the depressive episode (s) must be identified.

A clinically depressive episode is characterized by a low , sad, and / or empty mood for most of the day for a period of at least 2 weeks . This state of mind must be accompanied by at least one of the following symptoms or signs :

  • Loss of interest in doing activities for pleasure or that would normally be enjoyable.
  • Loss of sleep rhythm, either hypersomnia (prolonged sleep), intersomnia (interrupted), or insomnia .
  • Chronic fatigue or loss of energy for most of the day.
  • Loss of appetite
  • Recurring and excessive feelings of guilt or worthlessness.
  • Decreased ability to concentrate, decide, and even think.
  • Recurring thoughts of death (more than just fear of death), suicidal ideations and plans and attempts to carry them out.

After identifying a depressive episode, a chronic depression (called major depressive disorder in these manuals) can be identified or diagnosed, which can be composed of one to several depressive episodes for a period ranging from 2 weeks to an indefinite period, considered chronic from 6 months.

Within the “official” diagnoses of depression (referring to these two manuals as official), there is no classification of endogenous chronic depression. However, it is very useful to understand this term and its differentiation from exogenous chronic depression, both because of the knowledge of the term and the fact that this can help us identify causes and alternative treatment resources to conventional antidepressants.

Differences between exogenous chronic depression and endogenous chronic depression

Once we know what depression is and how it manifests itself, to understand endogenous chronic depression, the most important thing is to clarify the meaning of endogenous and contrast it with its opposite case, exogenous chronic depression.

  • The exogenous chronic depression refers to the condition in which the event or person who activated or triggered the onset of the depressive episode and the ensuing depression is identified as an external . Example: betrayal of love, loss of employment or some other significant tragic event (note: in the event of the death of a family member or close friends, the case must first be understood as a natural grieving process, as long as it does not extend for an excessive period of time more than 4 to 6 months).
  • In cases of endogenous chronic depression , the cause is very different. In these situations, the activator of depression is internal , and by this we refer to hereditary factors and life habits that influence organically, leading to chronic depression by favoring the appearance of metabolic syndrome that leaves the body without the ability to use the energy you consume appropriately and at the same time running out of resources to establish an adequate balance in brain neurotransmitters that would allow a better mood, either through unbalanced diet or malnutrition.

Nor should we forget about psycho-emotional factors, because the wrong approach or the abundance and persistence of irrational or negative beliefs will also bring the person closer to eventual depression. In addition, a depression will almost always be mixed , having both endogenous and exogenous factors that facilitate its onset and sustain it over time.

Endogenous chronic depression: treatment

Among these additions and important changes to implement are:

  • Improve the diet for a more balanced and organic one, providing the body with the resources to recover energy and nourish itself appropriately.
  • Antidepressant medications : these will help to reestablish the balance of neurotransmitters in the nervous system to be able to get out of depression, but it should not be the only resource, as it can lead to dependence on the drug and its use for too long a time.
  • Practice constant physical exercise . In case the person has little energy or motivation for it, they can start with breathing exercises and meditation.
  • Psychotherapy : both in endogenous and exogenous chronic depression, psychological therapy is a crucial pillar to reframe the person and restructure the way of seeing life and oneself, in such a way that the mind again plays in favor of the improvement and the integral well-being of the being. Said psychotherapeutic process should continue for at least a few months after the disorder is considered to have been overcome to ensure that the person is not prone to depression in the future.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Endogenous chronic depression: symptoms and treatment , we recommend that you enter our category of Mental disorders .

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