Everyone feels a little down sometimes, but sometimes those feelings don’t go away. When feelings of sadness, hopelessness or numbness persist for more than two weeks, it may become clinical depression.
Depression is one of the most common mental health conditions in the United States, with nearly 7% of the population suffering from it in any given year. One in six people will experience depression in their life. Depression and substance abuse often go hand in hand, with many depressed people turning to drugs or alcohol in an attempt to relieve the symptoms.
Symptoms and Causes
Depression is primarily characterized by feelings of sadness or lack of interest in things you once enjoyed. Those experiencing it often feel hopeless and apathetic. While many people picture someone crying and obviously sad all the time, many experiencing depression seem outwardly normal. Internally, however, they may feel numb and disinterested.
Exogenous vs Endogenous Depression
Depression can have many causes. Many people develop it after a traumatic event or major life change, such as a divorce or the death of a loved one. In the past, this was called exogenous depression, meaning it was caused by an outside event. It’s important to note that exogenous depression is not the same as grief, however. Everyone feels sad and stressed after a major loss, but normal grief or stress involves periods of relief and happiness that increase over time. Depression is persistent and doesn’t show signs of improvement.
There are also some people who experience depression that occurs for no apparent reason. This is defined as endogenous depression, meaning depression that comes from within. Endogenous depression is just as real as exogenous depression, although some people struggle to accept it because they feel they have to have a reason to be depressed.
Major Depressive Disorder
Modern counselors have largely moved away from the use of the terms endogenous and exogenous for a variety of reasons. The distinction between the two types isn’t always clear, and the treatments are largely the same.
Instead, most professionals today simply categorize most depression as major depressive disorder, or MDD. However, the older terms can be useful to help people understand the different types of depression.
What Causes Endogenous Depression?
Endogenous depression doesn’t have an external trigger, but there are still often identifiable causes for it. One of the most common is simply personality traits, such as low self-esteem and a negative view of life. These can make it harder to deal with normal stresses, which build up over time and lead to depression.
Genetics and lifestyle can also play a role. Although it’s still being studied, research has shown that major depressive disorder and other mental illnesses often run in families, suggesting a genetic link. Depression is also linked to differences in brain chemistry.
Living in unhealthy, stressful or dangerous environments also often leads to depression, even if you can’t point to a single event that triggered it. Exposure to abuse is a common factor, whether or not you are the person being abused. People who live in poverty are also at significant risk of depression.
Treating Endogenous Depression
If you’re living with depression, there is help available. Treatment needs to be tailored to the individual, but it is generally effective for even the most severe cases. There are several common forms of treatment that have been shown to be effective.
The first line of approach is generally psychotherapy. There are numerous approaches, and it can take some experimentation to find the right one for you. One of the most common and effective techniques is cognitive behavioral therapy, which is aimed at identifying negative and unhealthy thought patterns and training yourself to replace them with healthier ones. Other types are designed to help people work through traumas or develop healthy coping strategies. Many therapists use a combination of techniques.
Many people with endogenous depression benefit from the use of antidepressants. These drugs work by subtly changing your brain chemistry, which can help you feel happier and more capable. Antidepressants do not create a buzz or high and are not habit-forming, so they’re generally safe for people in recovery. They usually take two to four weeks to become effective, and most people take them for six months or more.
Antidepressants work slightly differently on each individual, so it’s important to let your doctor know if you’re experiencing significant side effects or aren’t seeing any benefits. Your doctor may want you to try a different type.
While simple lifestyle changes alone are not usually enough to cure endogenous depression, they can certainly help. Reducing or stopping drug and alcohol use is often a key factor in treating depression. Eating a healthy diet, getting plenty of sleep and exercising regularly have also been shown to help.
Longer-term lifestyle changes include removing external stressors, such as finding a better job or a more secure living situation. Developing a good, supportive social network also helps.
At FHE Health we utilize neuroscience techniques known as Neuro rehab. These methods of treatment are able to measure quantities and quality of brain activity throughout the brain. Using this information we can set a benchmark for their brain function before treatment has begun. Furthermore, we can utilize this technology to stimulate those areas and use therapeutic techniques to encourage neural pathway functionality.
Healing from Depression
If you’re living with exogenous or endogenous depression, there is help. With a holistic approach that includes substance abuse treatment, therapy and medications, you can recover from depression and live a happier, healthier life. If you’re looking for help, call us at (844) 299-0618 today to lean more about your options for treatment and recovery. Our team of compassionate counselors is available 24 hours a day to take your call.