Psychotic depression, also known as major depressive disorder with psychotic features, is a severe form of depression that includes psychotic symptoms such as delusions or hallucinations. These psychotic symptoms are typically related to the person's depressive thoughts and feelings. Here are some common symptoms of psychotic depression:
Depressed Mood: Persistent feelings of sadness, hopelessness, and emptiness are typical symptoms of depression. In psychotic depression, these feelings may be particularly severe.
Psychotic Symptoms:
- Delusions: False beliefs that are not based in reality. In psychotic depression, these delusions are often consistent with depressive themes, such as believing they are guilty of a terrible crime or being financially ruined.
- Hallucinations: Hearing, seeing, or feeling things that are not there. Auditory hallucinations (hearing voices) are most common in psychotic depression.
Agitation or Psychomotor Retardation: Individuals with psychotic depression may experience restlessness or, conversely, slowed movements and speech.
Changes in Appetite or Weight: Significant changes in eating habits, leading to weight loss or weight gain.
Sleep Disturbances: Insomnia (difficulty falling asleep or staying asleep) or hypersomnia (excessive sleepiness) are common in psychotic depression.
Feelings of Guilt or Worthlessness: Intense feelings of guilt, self-blame, or worthlessness, often related to the delusional beliefs.
Fatigue or Loss of Energy: Feeling physically and mentally drained, even with minimal activity.
Difficulty Concentrating: Trouble focusing, making decisions, or remembering things.
Social Withdrawal: A tendency to isolate oneself and withdraw from social interactions and activities.
Suicidal Thoughts: Individuals with psychotic depression may have thoughts of death or suicide. These thoughts should be taken seriously, and immediate help should be sought if someone is at risk.
It's crucial to understand that psychotic depression is a severe and potentially dangerous condition. People with psychotic depression may be at a higher risk of self-harm or suicide, especially if they have delusions or hallucinations with a negative or self-critical focus. Seeking professional help is essential for accurate diagnosis and appropriate treatment.
Treatment for psychotic depression often involves a combination of psychotherapy and medications, such as antidepressants and antipsychotics. If you or someone you know is experiencing symptoms of psychotic depression, reach out to a mental health professional or a healthcare provider for evaluation and support.