What is reverse depression

Hidden Depression

Patients suffering from chronic pain often become depressed. But there is also the opposite case: in 5-10% of all cases, pain is an expression of a mental illness. If the physical complaints are so in the foreground that the doctor hardly recognizes the psychological cause, one speaks of a masked or hidden depression. (More information on depression can be found here)

Sufferers are unable to express their depressed mood. You feel dull and have hot flashes or constant shivering. A region of your brain, the so-called limbic system, continuously sends out signals that cause the muscles to tense: tension develops, which ultimately leads to dysfunction and pain. Depending on which area is affected, the patient suffers from typical complaints:

  • Digestive tract: nausea, vomiting, diarrhea, constipation, gas, loss of appetite
  • Heart / circulatory system: palpitations, palpitations, oppression, shortness of breath, dizziness, drowsiness
  • Urogenital system: impaired sexual sensation, potency problems, intermenstrual bleeding
  • Muscular system: lower back and neck pain
  • Other: headache, ringing in the ears (tinnitus), visual disturbances, itching (allergy), hair loss

The doctor or psychotherapist can only determine a hidden depression by asking specific questions about the mental state of his patient. And only if the patient answers openly and honestly. It can be treated with psychotherapy and antidepressants.

In depression, too little serotonin and noradrenaline is produced in the brain. These messenger substances are responsible for transmitting signals from one nerve cell to another. If they are absent, the person concerned becomes depressed. Messenger substances have to be supplied to the body over several weeks or months until a stable state is reached again. With depression, physical complaints also go away.