I’d like to talk about the diagnosis of Endogenous Depression, a type of Major Depressive Disorder (MDD). Endogenous Depression used to be a distinct disorder but it’s rarely diagnosed these days. In 2014, I became one of the small number of people with a new diagnosis of this mood disorder. It can be difficult to find information on a disorder that is no longer diagnosed as frequently as before and it took me a long while to grasp the diagnosis of Endogenous Depression. Growing up, I thought there was only one type of Depression so when the doctor went and inserted some strange sounding word in front of it I sat there in absolute shock. He didn’t explain – actually, although I was diagnosed with the disorder in November 2014, I wasn’t aware of the actual diagnosis until the summer of 2015.
Endogenous Depression has no apparent triggers or causes. It usually occurs for no reason at all and is said to be caused by genetic and biological factors. Symptoms usually start to occur for no reason at all but these symptoms are very similar to other depressive disorders. Common symptoms of Endogenous Depression include:
- persistent feelings of sadness or hopelessness
- loss of interest in activities or hobbies that were once pleasurable
- lack of motivation
- trouble concentrating, thinking, or making decisions
- difficulty falling asleep or staying asleep
- social isolation
- thoughts of suicide
- muscle aches
- loss of appetite or overeating
These symptoms are usually treated through a combination of medication and therapy. Medications to treat Endogenous Depression usually include Selective Serotonin Reuptake Inhibitors (SSRI’s) or Selective Serotonin and Norepinephrine Reuptake Inhibitors (SNRIs). Examples of these types of medication include citalopram, prozac, paxil and duloxetine. Sometimes, TCA’s can be used for the treatment of Endogenous Depression. However, side effects of TCA’s are usually more severe and so other medications are usually used beforehand.
Therapies for Endogenous Depression include Cognitive Behaviour Therapy and Interpersonal Therapy. Electro convulsive Therapy is also another option if medication and therapy does not improve the condition.
If you have a diagnosis of Endgenous Depression, would like more information or feel you may have a diagnosis of the disorder, please feel free to email me at: