Some people who have severe clinical depression will additionally experience hallucinations and delusional thinking, the symptoms of psychosis.

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Depression v psychosis is well-known as psychotic depression.

Symptoms of major depression

Someone with major clinical depression feel sad and also hopeless for many of the day, nearly every day, and also has no interest in anything. Acquiring through the job feels almost impossible.

Other usual symptoms of major depression are:

fatigue (exhaustion)loss of pleasure in thingsdisturbed sleepchanges in appetitefeeling worthless and guiltybeing unable to concentrate or gift indecisive

Read more about the psychological, physical and social symptoms of clinical depression

Symptoms that psychosis

Having moments of psychosis (psychotic episodes) method experiencing:

delusions – think or ideas that room unlikely to it is in true

The delusions and also hallucinations virtually always reflect the person's deeply depressed the atmosphere – because that example, castle may become convinced they're to blame for something, or that they've cursed a crime.

"Psychomotor agitation" is also common. This way not being able to relax or sit still, and constantly fidgeting.

At the other extreme, a human being with psychotic depression may have actually "psychomotor retardation", whereby both their thoughts and also physical motions slow down.

People with psychotic depression have an enhanced risk the thinking about suicide.

What causes psychotic depression?

The cause of psychotic depression is not fully understood. It's known that there's no single cause the depression and also it has many different triggers.

For some, stressful life occasions such as bereavement, divorce, serious illness or financial concerns can it is in the cause.

Genes most likely play a part, as severe depression can run in families, return it's not known why some people likewise develop psychosis.

Many civilization with psychotic depression will have actually experienced adversity in childhood, such together a traumatic event.

Read an ext about the causes of clinical depression

Treating psychotic depression

Treatment for psychotic depression involves:

social assistance – assistance with society needs, such as education, employed staff or accommodation

The person may should stay in hospital because that a short duration of time when they're receiving treatment.

Electroconvulsive therapy (ECT) may sometimes be recommended if the person has actually severe depression and also other treatments, consisting of antidepressants, have not worked.

Treatment is usually effective, but follow-up appointments so the the person deserve to be carefully monitored space usually required.

Getting help for others

People with psychosis are frequently unaware that they're thinking and also acting strangely.

As a result of this absence of insight, it's often down to the person's friends, relatives or carers to seek aid for them.

If you're concerned around someone and also think they may have actually psychosis, you could call their society worker or neighborhood mental wellness nurse if they've formerly been diagnosed with a mental health and wellness condition.

Contact the person's GP if this is the an initial time they've displayed symptoms that psychosis.

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If friend think the person's symptoms space placing lock or rather at feasible risk of damage you can:

call 999 to ask because that an ambulance

Further information

The adhering to websites administer further information and also support:


If you've to be diagnosed through psychotic depression, it's your legal responsibility to call the Driver & automobile Licensing firm (DVLA). The could affect your capability to drive.

Visit GOV.UK for more information about medical conditions, disabilities and also driving