Reactive depression

Usually occurs as a reaction to the death (especially sudden) of close people, severe life failures and is accompanied by a depressed mood, crying, lack of appetite, lack of mobility. Patients walk hunched over, sit with their head lowered on the chest, lie with their legs clasped. All their thoughts are related to the psychotraumatic situation, its analysis, the desire to discuss these events with others. At first, for example, immediately after the notification of death, there may be a brief state of numbness, without tears, and only after coming out of the stupor there are tears accompanied by feelings of guilt or remorse. The feeling of one's own guilt is directly related to the psychogenic situation: the patients blame themselves for not having done everything to prevent death or alleviate the suffering of a loved one, that they were not sufficiently attentive and justified. However, the thoughts of the patients are directed not to the past, as in the case of cyclothymic depression, but to the present and the future; therefore, the feeling of loss and sorrow for a close person is always joined by thoughts about the dismal prospect of loneliness, suffering, material unhappiness, and the need for empathy and complicity.
Thoughts of suicide appear only in the absence of a comforting prospect. The course of reactive depression depends both on the nature of the trauma and on the personality of the patient. However, time heals everything; The forecast is usually favorable. Prolonged reactive depression is usually observed in non-resolving psychogenic situations.
For example, a loved one is gone, and they can not find him alive or dead.