Psychotic Depression

is also known as Depressive Psychosis or Psychotic Major Depression (PMD)

Although rare, Psychotic depression (PMD) affects a large number of people worldwide. Usually it occurs in episodes but it can become chronic.

It has all the symptoms of a Major Depressive Episode with the addition of one or more psychotic symptoms, including paranoia, delusions and/or hallucinations.

Psychotic depression is a sub-type of major depression that occurs when a severe depressive illness includes some form of psychosis.

The psychosis could be hallucinations (such as hearing a voice telling you that you are no good or worthless), delusions (such as, intense feelings of worthlessness, failure, or having committed a sin or some other break with reality. Psychotic depression affects roughly one out of every four people admitted to the hospital for depression.

Depressive Psychosis can also occur in the context of Major Depressive Disorder or Bipolar Disorder.

Diagnosis of psychotic depression is complex because the psychotic symptoms can be either congruent or non-congruent with mood.

The symptoms listed are presented here for educational purposes only and are not intended for self-diagnosis.

Common symptoms of people with depressive psychosis include:

  • Agitation
  • Anxiety
  • Constipation
  • Hypochondria
  • Insomnia
  • Intellectual impairment
  • Physical immobility
  • Delusions or hallucinations
  • Paranoia