How is psychosis evaluated in major depressive disorder (clinical depression)?

Updated: Mar 28, 2019
  • Author: Jerry L Halverson, MD; Chief Editor: David Bienenfeld, MD  more...
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Answer

Patients with major depressive disorder commonly show ruminative thinking. Nevertheless, it is important to evaluate each patient for evidence of psychotic symptoms, because this affects initial management.

Psychosis, when it occurs in the context of unipolar depression, is usually congruent in its content with the patient's mood state; for example, the patient may experience delusions of worthlessness or some progressive physical decline.


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