Medical Perspective vs. Psychological Theories
In traditional medicine, depression is considered a problem related to the internal chemistry of the brain, treatable only with medication. However, there are psychological theories that explain the phenomenon and how it can be cured. In my experience, the main cause of depression is internal and unconscious conflicts that the person does not know how to resolve.
The Adaptive Defensive Structure
From a young age, we build a defensive adaptive structure. This “armor” protects us from internal dangers (fears and compulsions) and external dangers. This structure gives us stability, but it can become unbalanced in situations of prolonged stress or traumatic events.
Internal Conflicts in Depression
When the structure becomes unbalanced, internal conflicts emerge. In depression, the struggle between the impulsive part (repressed anger) and the regulating part of the personality is common. The impulse is inhibited because the person unconsciously believes that acting is dangerous or forbidden. This can result in paralysis of motivations, feelings of emptiness, anxiety and distress. Other underlying causes may include fear of abandonment and low self-esteem.
Therapeutic Approach
The therapy is based on identifying the sources of unconscious conflicts, usually arising in childhood, and applying psychotherapeutic techniques to resolve them. Medication is not incompatible with psychotherapy and is sometimes necessary so that the patient has enough energy for the therapy and a bearable daily life.
Recovery Process
As symptoms subside, medication is reduced until it is no longer necessary. The goal is for the person to be able to live in freedom and peace of mind.
