Depressive neurosis is a kind of neurotic disorder characterized by a constantly sad mood, hypodynamia and general retardation. Depressive neurosis is accompanied by vegetative-somatic disorders and sleep disorders. He has such distinctive features as an optimistic view of the future, the preservation of the ability to professional activities, the lack of profound personality changes. To diagnose a depressive neurosis, a psychoneurologic consultation is necessary.
Causes of depressive neurosis
Depressive neurosis is a psychogenically conditioned condition, that is, its occurrence is associated with external psychotraumatic circumstances. Causal situations, as a rule, are of special importance for the patient and have a long course. There are 2 main groups of psychotraumatic situations leading to a depressive neurosis. The first is the numerous failures that occur immediately in several areas of the patient’s activity and cause him the feeling of a failed life. The second group is the so-called circumstances of emotional deprivation, when the patient is forced to hide some kind of relationship, can not establish contact with a person close to him, is separated from his beloved people, has no opportunity to do what he likes, etc.
Symptoms of depressive neurosis
In the classic case, depressive neurosis is characterized by a triad of typical symptoms: A decrease in vital activity and even some general inhibition, a depressed mood, a slowdown in thinking and speech. At the beginning of the disease, a decreased mood background and general weakness are combined with various vegetative-somatic symptoms: Dizziness, palpitations, fluctuations in blood pressure, a decrease in appetite, and functional abnormalities on the part of the gastrointestinal tract. As a rule, these manifestations cause patients to visit the therapist, who prescribes symptomatic therapy to them.
Treatment of depressive neurosis
Effective therapy of depressive neurosis is possible only with a combination of psychotherapeutic influences with the use of drugs and physiotherapy techniques. With neurotic depression, psychotherapists make extensive use of persuasive treatment, which consists in the logical study of the psychotraumatic situation in order to change the patient’s attitude towards it. In addition, self-hypnosis is used the patient’s talking about certain phrases aimed at forming a new view of the situation.