Understanding Psychotic Depression

A guide to severe depression with psychosis.

This is Not a Diagnostic Tool

This information is for educational purposes. Only a qualified mental health professional can diagnose psychotic depression. If you are struggling, please seek professional help urgently.

What is Psychotic Depression?

Depression with psychosis is a subtype of major depression where a person experiences a combination of severe depression symptoms alongside psychosis. Psychosis means losing some contact with reality.

Symptoms

This condition includes symptoms of both severe depression and psychosis.

Depression Symptoms

Persistent feelings of sadness and hopelessness.
Fatigue and disturbed sleep.
Changes in appetite.
Feelings of worthlessness and guilt.
Difficulty concentrating.
Thoughts of death or suicide.

Psychosis Symptoms

Delusions: Thoughts or beliefs that are unlikely to be true, often reflecting the depressed mood (e.g., believing you've committed a crime).
Hallucinations: Hearing voices or seeing things that are not there.
Psychomotor Agitation: Being unable to relax and constantly fidgeting.
Psychomotor Retardation: Slowed thoughts and physical movements.

Treatment and Getting Help

Treatment for psychotic depression usually involves a combination of antipsychotic and antidepressant medicines, talking therapies like CBT, and social support. In some cases, a short hospital stay may be necessary for safety and stabilisation.

Because of the increased risk of suicide, it is crucial to seek help for others if you are concerned. If you think someone is at risk of harm, contact their GP, mental health team, or call 999 for an ambulance.