Which psychotic features may be present with major depressive disorder (clinical depression)?

Updated: Aug 06, 2020
  • Author: Jerry L Halverson, MD; Chief Editor: David Bienenfeld, MD  more...
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The presentation of severe major depressive disorder may include psychotic features. Psychotic features include delusions and hallucination and may be mood congruent or mood incongruent. Mood-congruent psychoses are often consistent with classic depressive themes, such as personal inadequacy, guilt, disease, or deserved punishment. Mood-incongruent psychoses are not consistent with these typical themes but may also occur in depression.

Major depressive disorder with psychotic features is considered a psychiatric emergency. Patients may require psychiatric hospitalization.

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