Back اكتئاب ذهاني Arabic Ψυχωτική κατάθλιψη Greek Psikoza depresio Esperanto Depresión psicótica Spanish Depresio psikotiko Basque افسردگی سایکوتیک Persian Psykoottinen masennus Finnish Dépression psychotique French דיכאון פסיכוטי HE Depresi psikotik ID
| Psychotic depression | |
|---|---|
| Other names | Depressive psychosis |
 | |
| A drawing that attempts to capture the sadness, loneliness, and detachment from reality, as described by patients with psychotic depression | |
| Specialty | Psychiatry |
| Symptoms | Hallucinations, delusions, low mood |
| Complications | Self-harm, Suicide |
| Usual onset | 20-40 years old |
| Duration | Days to weeks, sometimes longer |
| Diagnostic method | Clinical interview[1] |
| Differential diagnosis | Schizoaffective disorder, schizophrenia, personality disorders, dissociative disorders |
| Treatment | Medication, cognitive behavioral therapy |
| Medication | Anti-depressants, anti-psychotics |
Psychotic depression, also known as depressive psychosis, is a major depressive episode that is accompanied by psychotic symptoms.[2] It can occur in the context of bipolar disorder or major depressive disorder.[2] Psychotic depression can be difficult to distinguish from schizoaffective disorder, a diagnosis that requires the presence of psychotic symptoms for at least two weeks without any mood symptoms present.[2] Unipolar psychotic depression requires that psychotic symptoms occur during severe depressive episodes, although residual psychotic symptoms may also be present in between episodes (e.g., during remission, mild depression, etc.).[3][4][5][6][7] Diagnosis using the DSM-5 involves meeting the criteria for a major depressive episode, along with the criteria for "mood-congruent or mood-incongruent psychotic features" specifier.[8]
- ^ Dubovsky, Steven L.; Ghosh, Biswarup M.; Serotte, Jordan C.; Cranwell, Victoria (2021). "Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment". Psychotherapy and Psychosomatics. 90 (3): 160–177. doi:10.1159/000511348. PMID 33166960. S2CID 226296398.
- ^ a b c Hales E and Yudofsky JA, eds, The American Psychiatric Press Textbook of Psychiatry, Washington, DC: American Psychiatric Publishing, Inc., 2003
- ^ Kupfer, D. J., Frank, E., & Phillips, M. L. (2012). Major depressive disorder: New clinical, neurobiological, and treatment perspectives. Lancet, 379(9820), 1045-1055
- ^ Roca et al. (2014). Frequency and predictors of psychotic symptoms in a general population sample. Acta Psychiatrica Scandinavica, 129(4), 286-295
- ^ García-Álvarez et al. (2013). Residual psychotic symptoms in depression: Prevalence and relationship to mood symptoms, anxiety symptoms, and treatment response. Acta Psychiatrica Scandinavica, 128(5), 375-382
- ^ Lennox et al. (2010). Residual psychotic and depressive symptoms in a clinical trial for psychotic depression. Journal of Affective Disorders, 127(1-3), 243-248
- ^ "ICD-10 Version:2019".
- ^ American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington DC: American Psychiatric Association. ISBN 9780890425558.