Psychotic Depression

Psychotic depression is one of the most severe forms of the general depressive diseases in which the person experiences moments of delusional or paranoid being.

Psychotic depression is characterized by not only depressive symptoms, but also by hallucinations (seeing or hearing things that aren’t really there) or delusions.
Psychotic depression is a chronic, cyclic condition. In general, the patient may have unremarkable general depressive episodes marked by moments of extreme psychoses.

Suicide is most prevalent in patients affected by psychotic episodes. Psychotic depression is unlike schizophrenia because people who are experiencing this type of depression are usually aware that the psychotic episodes they experience are not real.

Although there are no obvious risk factors, a family history of depression or psychotic illness increase the risk of this condition.

A clinical evaluation consisting of a psychiatric evaluation, a physical examination, and laboratory tests are used to make the diagnosis. Depression may arise or worsen without any apparent or significant life stresses. Social class, race, and culture do not appear to affect the chance that a person will experience depression in his or her lifetime.

The presence of psychotic features in depression reflects a more serious condition. Generally, the depressive symptoms have a higher chance of returning than the psychotic symptoms.

Patients may need to take medication for a long time to prevent depression from returning. Treatment for psychotic depression may require a longer hospital stay and close follow-up by a mental health professional.

Treatment is very effective for psychotic depression, and people are able to recover, usually within a year, but continual medical follow-up may be necessary.

Causes of Psychotic depression

The common causes and risk factor’s of Psychotic depression:

  • Family tendency (heredity).
  • Side effects of certain drugs.
  • Physical factors.
  • Abnormal thyroid function.
  • Human immunodeficiency virus.
  • Some prescription drugs.

Symptoms of Psychotic depression

Some sign and symptom related to Psychotic depression are as follows:

  • Insomnia.
  • Physical immobility.
  • Constipation.
  • Cognitive impairment.
  • Agitation.
  • Hypochondria.

Treatment of Psychotic depression

  • Treatment for psychotic depression may require a longer hospital stay and close follow-up by a mental health professional.
  • Combinations of antidepressants and antipsychotic medications have been most effective in easing symptoms.
  • Electroconvulsive therapy is very effective for this condition, but it is generally a second-line treatment.