Major depression with psychotic features

Major depression with psychotic features is a mental disorder in which a person has depression along with loss of touch with reality (psychosis).

Causes

The cause is unknown. A family or personal history of depression or psychotic illness makes you more likely to develop this condition.

Symptoms

People with psychotic depression have symptoms of depression  and psychosis .

Symptoms of depression

Depression is feeling sad, blue, unhappy, or down in the dumps. Most people feel this way once in a while. Major depression is a mood disorder. It...

Image

 

Read Article Now Book Mark Article

Psychosis is a loss of contact with reality. It usually includes:

• Delusions: False beliefs about what is taking place or who one is
• Hallucinations: Seeing or hearing things that aren't there

The types of delusions and hallucinations are often related to your depressed feelings. For example, some people may hear voices criticizing them, or telling them that they don't deserve to live. The person may develop false beliefs about their body, for example, that they have cancer.

Exams and Tests

Your health care provider will perform a physical exam and ask questions about your medical history and symptoms. Your answers and certain questionnaires can help your provider diagnose this condition and determine how severe it may be.

Blood and urine tests, and possibly a brain scan may be done to rule out other medical conditions with similar symptoms.

Treatment

Psychotic depression requires immediate medical care and treatment.

Treatment usually involves antidepressant and antipsychotic medicine. You may only need antipsychotic medicine for a short period of time.

Electroconvulsive therapy can help treat depression with psychotic symptoms. However, medicine is usually tried first.

Outlook (Prognosis)

This is a serious condition. You will need immediate treatment and close monitoring by a provider.

You may need to take medicine for a long time to prevent the depression from coming back. Depression symptoms are more likely to return than psychotic symptoms.

Possible Complications

The risk of suicide is much higher in people with depression with psychotic symptoms than in those without psychosis. You may need to stay in the hospital if you have thoughts of suicide. The safety of other people must also be considered.

When to Contact a Medical Professional

If you have thoughts of suicide or harming yourself or others, immediately call your local emergency number (such as 911) or go to the hospital emergency room right away. DO NOT delay.

You may also call a suicide hotline from anywhere in the United States, 24 hours a day, 7 days a week: 1-800-SUICIDE or 1-800-999-9999.

Call your provider right away if:

• You hear voices that are not there.
• You have frequent crying spells with little or no reason.
• Your depression is disrupting work, school, or family life.
• You think that your current medicines are not working or are causing side effects. Never change or stop any medicines without first talking to your provider.