Psychotic Depression and Symptoms

People become out of touch with reality, they have severe depression. They find it virtually impossible to recognize what is real and what is in their imagination. Do not be scared by the name, it is just like the other forms. It does not make a sufferer a 'psycho'.

Tends to occur with severe UMD (15 % of UMD will have). Most commonly involves delusions: "everything is all my fault, I ruin everything I touch, I should avoid people because my presence poisons them" or mood-congruent hallucinations, such as hearing voices that berate and cast blame, often requires hospitalization

psychotic depression, which is accompanied by delusions or hallucinations that may be mood-congruent (related to depressive themes) or mood-incongruent (not related to typical depressive themes, such as delusions of external control

Symptoms of Psychotic Depression

They feel guilty of shameful deeds or crimes, which they could not possibly be responsible for, such as a war or a natural disaster.
They are at risk of serious self-neglect.
Psychotically depressed people often believe that their thoughts are not there own or those others can 'hear' their thoughts.
Presence of psychosis (hallucinations/delusions).
Hypochondria (obsessive preoccupation with the possibility of becoming ill or with imagined symptoms of an illness).
Intellectual impairment.
Other symptoms of psychotically depressed people may include anxiety, agitation, insomnia, constipation, and physical immobility.

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