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Palmolive Offline
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Pyschotic Depression - May 26th 2010, 06:40 PM

My mum has been diognosed with Pyschotic depression. Shes just been inmitted into a pysch ward after taking three overdoses in three weeks.

Ive got to be honest, the word pyschotic is completly running around in my head. Shes not pyschotic. She cant be. So i dont understand what they mean by pyschotic depression.

Any help?
Thanks


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Last edited by Palmolive; May 26th 2010 at 06:53 PM.
   
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Re: Pyschotic Depression - May 27th 2010, 08:09 AM

In psychiatry, the term "psychotic" does not mean she's insane (as that's not a medical diagnosis anyways) but rather that she displays psychosis, which involves hallucinations and delusions. For psychotic depression, the diagnostic criteria is a bit odd but basically is that of major depressive disorder (the traditional depression) and hallucinations, delusions and intense daydreaming. Often the delusions are that of paranoia or guilt but are for events that in reality they are not responsible for, however, in their view, they are solely responsible.

It's a bit hard to diagnose because the psychotic episodes sometimes are hard to separate from schizophrenia and other related disorders but certain features do separate them.

Unfortunately, psychotic depressive patients have a high rate of suicide attempts, more so than traditional depressive patients do as their depression is usually quite severe but not always. The fact your mother did attempt suicide landed her in the psych ward but due to her diagnosis and progression, she may be kept longer. Due to her psychosis, she would be placed not only on anti-depressants such as SSRIs but also on anti-psychotics. If you do not know, anti-psychotics have side-effects of making you very tired and lethargic (are other side-effects), and the anti-depressants have their own side-effects. So her behavior may seem to be different as she is on the medications.
   
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