Depression can be chronic, that is, it can last for a long time. This condition is associated with psychosis due to the advanced deterioration in bilateral human relations and tendencies towards introversion. In this sense, it is necessary to clarify the concept of psychosis. What is psychosis? In general, it covers a wide range of mental disorders and diagnoses. But the most important feature is the deterioration of the relationship with reality, that is, the loss of the sense of reality and the situation in which the person reacts differently to imaginary or real stimuli coming from his/her inner world or from outside. A person in psychosis perceives reality differently. To give a very simple example, a guest coming to the house is seen as an enemy without any reason. He may feel like everyone is looking at him while walking on the road. He often quarrels with his family members, the reason for this is that he doubts indirectly. In other words, unfounded doubts and unrealistic thoughts are the most important features of psychosis. In depression, rather than the complete distortion of the sense of reality, reluctance, pessimism, Situations such as frequent crying, feelings of regret for the past, feelings of hopelessness for the future, insomnia, and sometimes extreme irritability are observed. However, the energy to carry out the daily activities required by that reality has decreased. Sometimes this situation reaches such a level that the depressed person becomes schizophrenic or psychotic because he does not take care of himself. Perceiving it as a phenomenon is a mistake made especially by non-professional people. The concept of psychotic process is generally used for young people in their twenties. Sometimes it can be valid in the 35-40 age range. But ultimately, it is a process and its progression is in question. This situation directly translates into depression. It means. In other words, the person is changing, but he remains helpless against this change. He is hopeless and helpless. He is in a spiritual change whose end is unknown and his relationship with his environment is gradually deteriorating. His work life is disrupted, in other words, his functionality decreases, his family relationships become chaotic and sometimes he becomes obsessive. Compulsive disorder etc. may occur. His emotions are very chaotic in his inner world and he experiences ups and downs. And most of the time he cannot express them. Ultimately, there is no word to describe himself. This insidious psychotic process causes mental disorganization and the delusions it suppresses in later ages. It results in the person becoming manifest and completely detaching from society. There is a lot of change from person to person on this issue and it should be noted that there is much more to write. A person's life fades away, but this occurs after many painful and troubled years. Ultimately, as a psychiatrist, I recommend that people consult a professional rather than trying to overcome their own problems, especially the conflicts they experience in their inner world and which they cannot understand, on their own.
The solution is not difficult. It is based on medical treatment, but it is also possible to use psychotherapy. Of course, this choice is made by the individual. It varies depending on its characteristics and response to treatment. But it must be said that it can be completely reset. With a good therapist-patient relationship, this state of complete recovery can be maintained for life. You will agree that it is much better than the establishment of a permanent psychosis or schizophrenia.
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