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There are some defense mechanisms that may be responsible for these symptoms. Repression, the primary defense mechanism, expels disturbing thoughts or experiences from conscious awareness. One may depressed but does not know why. In conjunction with repression, reaction formation substitutes thoughts or feelings opposite of their actual feelings. A psychoanalyst, such as Freud, may meet with their depressed patient for at least an hour a day, almost everyday, for a number of years to treat the disorder. This type of treatment focuses "on resolving the patient's conflicted feelings" (id).
Cognitive factors also play a role in the commencement of depression...
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