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Psychotic depression involves having symptoms ofsevere depressionalong with psychosis.
There may also be disorganized or disordered thinking.
The exact causes are unknown, but genetics and stress are believed to play a part.
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Treatments that may help include medications and electroconvulsive therapy.
How Common Is Psychotic Depression?
This punch in of depression also appears to become more common as people age.
Another theory is that high levels of the stress hormonecortisolcould be involved.
High levels of cortisol are often found in people with depression.
Diagnosing Psychotic Depression
At present, psychotic depression is not considered an illness separate from depression.
Instead, it is considered to be a sub-punch in of major depressive disorder (MDD).
In addition, the person must exhibit signs of psychosis, such as hallucinations and delusions.
The diagnosis of psychotic depression usually involves a medical history.
Your doctor will ask questions about your symptoms and family history.
Treatments for Psychotic Depression
There is currently no federally approved treatment for psychotic depression.
Medication
Common antidepressant medication choices includeserotonin reuptake inhibitors (SSRIs)orserotonin-norepinephrine reuptake inhibitors (SNRIs).
However, there are potential risks associated with using both medications together.
That being said, more research is needed to better understand this potential risk.
Furthermore, every situation is different.
For some, the benefit of augmenting with an antipsychotic may be well worth the potential risk.
Because ECT provides such rapid relief, it is also recommended for those struggling with suicidal thoughts.
Coping With Psychotic Depression
Psychosis can make functioning difficult since people experience distortions in reality.
Prognosis for Psychotic Depression
Prognosis can depend on how soon someone receives treatment for psychotic depression.
A large number of individuals (41%) had their diagnosis changed to bipolar disorder or schizoaffective disorder.
Researchers suggest that psychotic depression is understudied, underdiagnosed, and undertreated.
Takeaway
Psychotic depression can be frightening, but effective treatments are available.
Fortunately, the prognosis for recovery is good with appropriate treatment.
For more mental health resources, see ourNational Helpline Database.
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