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Posted on 27th of January, 2013
75 notes

Tags: psychotic depression, major depression with psychotic features,

Psychotic Depression

Psychotic Depression is rare type of Major Clinical Depression that includes psychosis. It is also referred to as Major Depression with psychotic features.  This includes hallucinations either visual or auditory, delusions especially involving your depression like that you committed a horrible sin or that people can hear your thoughts, or some other break in reality that has themes of depression. Episodes of psychotic depression put you at higher risk for bipolar disorder and suicide. Usually patients tend to hide and feel shame about their psychosis which makes it difficult to diagnose. Along with the same symptoms as other forms of depression, there can also be constipation, hypochondria, intellectual impairment, and physical immobility. Most cases of psychotic depression are seen in patients that need to be hospitalized. Treatment usually involves a combination of antidepressants, antipsychotics, and therapy. Occasionally electroshock therapy is used. Usually treatment is very affective and leads to recovery within a year. It’s important to continue with therapy and medication. Antipsychotics may be only used for a short time, the depression is more likely to continue than the psychosis.

Because psychotic depression is a very serious condition and can pretty much consume the life of the patient, it’s difficult to be involved in any kind of relationship especially romantic ones. It’s very important to focus on recovery first, especially if you’re suicidal and/or need to be hospitalized. Relationships can be stressful enough without the added stress of dealing with such a life consuming condition. Put yourself first and then you can focus on relationships. A lot of the medications can decrease or even get rid of your libido. Talk to your doctor about this and see if you can try different kinds of medications to see if something works better. As stated previously a lot of people feel guilty about their psychosis and don’t want to talk about it. Don’t feel ashamed! It doesn’t make you a bad person. Your condition is not you, you are an amazing person and you deserve to be in a relationship where you can share all aspects of your life. It’s important to talk about your symptoms and your experiences with your partner so they have some insight into what you’re going through and they can support you. Having a good support system is really important for any kind of depression. When not on medication the libido of someone with psychotic depression tends to switch from very high to very low. It’s important to talk to your partner about this to make sure that everything is consensual and safe. 

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