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STRESS BREAKDOWN: MISTAKING STAGE TWO FOR ENDOGENOUS DEPRESSION
It is very important, therefore, that we discern stage two symptoms for what they are, so that stress breakdown can be prevented from getting worse. The most common misdiagnosis in stage two stress breakdown would be to mistake the symptoms for those of endogenous depression.
Endogenous depression is primarily a mood disorder in which the person feels weak and tired, experiences broken sleep or early-morning waking, feels worse at a particular time of day, especially in the mornings, and feels generally sad, sometimes enough to suicide. Stage two symptoms can resemble depression, but there are differences:
1. The sleep disorder in stage two stress breakdown tends to be one of difficulty in getting off to sleep, while in endogenous depression, the patient has difficulty in staying asleep.
2. The person with stress breakdown often feels better after a night’s sleep, while the person with endogenous depression may feel worse.
3. There may be a tendency to burst into tears in depression, but the emotional lability of stress breakdown is one of inability to control both high and low swings in mood, momentarily.
4. In endogenous depression, the atmosphere portrayed by the patient is one of loss – loss of energy, loss of enjoyment of life, loss of the will to live. In stress breakdown, the atmosphere is one of load. Suicide threats expressed in stress breakdown are impulsive gestures of despair and not based on the quiet, sad conviction of the patient with endogenous depression that the world would be better off without him.
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