Depressive States.

Without a doubt, we can state that actually, that clinical depression have shown significant growth in analytical practice. However we should note some important facts about the treatments well, types of depressive states and misunderstandings arising from attendance precipitates. For this reason I will support me in statistics in gauging seriously and honestly I bring some data below.
1.Entre the ten most debilitating diseases of important individuals, five are emotional, among them depression: the first one.
2. 50% (some) doctors not psychiatrists or psychoanalysts do not diagnose or if they do make mistakes significant and harmful using benzodiazepines or antidepressants in the wrong dosages.
3.The number of depressive states is increasing.
David Zimerman psychiatrist and psychoanalyst says, "in virtually every frame of underlying mental illness exists, some form of depressive state"
4. A great number of "subclinical depression, depressive states rather than to show or demonstrate clearly and rather unsuspected by dashes, for a continuous state of apathy, or will be revealed by hypochondria, alcoholism, eating disorders etc.. According Zimerman can classify:

Type:
a) Atypical, better known by the names of "neurotic depression" or "reactive depression". Your profile is unique and results from some form of existential crisis, mainly for reasons internal or external. Usually do not respond well to medication.
b) Endogenous: results from organic causes and manifests itself with symptoms more typical, acquiring characteristics "unipolar (depressive symptoms are only) or bipolar (both can be symptoms of depression or sphere, in an opposite pole of "manic" nature). Although they are indigenous, they can commonly be triggered by environmental factors, qualitatively resembled the atypical depression. Usually responds quite well to modern antidepressant medication, and when properly administered, especially when accompanied by some form of analytical-based therapy.
c) Dysthymia: This name corresponds to the depression that commonly is called "chronic."

Leading Causes of Depression
A) anaclitic depression: results from a primitive "vacuum of mother."
B) Identification with the lost object: it corresponds to Freud's classic aphorism - "the shadow of the object falls upon the ego" - a struggle with ill-prepared for this object, in a manner which facilitates the installation of paintings "melancholy".
d) Depression by losses; both important objects - especially when losses have been premature, traumatic and significant - as well as parts of the ego, as happens in "involutive depression" when the guy who is entering old age feel to be losing physical stamina, concentration, memory, etc..
e) Depression by guilt in this case, depression is determined by the action of a punitive superego tyranny, what we call a self-criticism too punitive.
f) IDs pathogens, especially those that particularly, I propose the designation of "identification with the victim."
g) Break with designated roles: the depression comes from the action of an "ideal ego" - which obliges the subject to match the unattainable ideal that his original narcissism demands - as well as an "ideal ego," which results from expectations grand parents and placed in the environment surrounding the subject from little baby, giving him roles that he should run for life, otherwise, it awakens a sense of betrayal, shame and humiliation.
h) Depression due to the failure Narcissistic: Very frequent; state due to some type of failure that the subject strongly fixed in what we call "narcissistic position," suffers in the face of huge demands for obtaining successive successes, such as money, power, prestige.
i) Pseudodepressões: How the type of person who goes through a whole life seeming helplessness and poverty that do not match their reality. It behaves this way for reasons such as fear of attracting retaliatory jealousy, fear of causing grief in those who envy, fear of becoming the other's gaze from an inexhaustible source of nurturance and satisfaction of needs, a way of appearing to be a sufferer, that he would be a merit for the love of another.

About treatment:

In all the situations described and reasons for depressive states, one should remember that they are not necessarily tight situations or motives, drives, or single. The subject may submit reasons in some situations concomitants. The indication for this is not psychotherapy and it also will discuss the effectiveness of antidepressants. But we draw attention to the indiscriminate use and misuse of benzodiazepines, what we call the "medicalization". Clear that the use of antidepressants is important and does not exclude psychotherapy. Consensus is more serious cases, important and appropriate to the combined use of psychotherapy and antidepressants. Remembering statistics from the U.S. FDA: among 100 suicide in this country, only 80 were using antidepressants (2007 data).