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Psychotic Depression Symptoms – Identifying the Signs of Break with Reality

Posted Aug 12 2012 12:42pm

Psychotic depression is one of the common forms of depression, targeting at least 1 out of every 250 people. The psychotic depression symptoms are not only of depressive nature, they represent what can be called the ‘break with reality’. In simple words, a person suffering from psychotic depression is dragged into a fancy world and he or she loses the ability to distinguish reality from imagination. The condition is medically termed as psychosis and those suffering from it are called psychotics.

Individuals suffering from clinical depressions, or other forms of depression, may also experience psychotic symptoms with different levels of severity. It has been analyzed that psychotic symptoms of depression in men are more or less similar to the symptoms of depression in women. However, women are more likely to be victimized by this form of depression. At the same time, the facts state that the mortality rate among the male patients of psychotic depression is more than that in women. Understand the main psychotic depression symptoms to learn how to deal with the condition:

Depressive Symptoms

The symptoms of clinical depression, like hopelessness, purposelessness and unworthiness are experienced by the patients of psychotic depression. Loss of interest and pleasure in various activities and segregation from the social living are other symptoms found in these patients. However, these are not the characteristic psychotic depression symptoms. The following sections highlight the symptoms that are unique to this form of depression:


Patients of psychotic depression have the tendency to hallucinate in two different ways:

  • Seeing things that are not real and not seen by others (visual hallucinations)
  • Hearing voices that are not real and not heard by others (auditory hallucinations)

In general, it is assumed that these are child depression symptoms . The fact is that even grown-up adults face these symptoms while suffering from psychotic depression.


The patients usually experience unreasonable and disturbing thoughts that may include:

  • Concern about other people paying special attention to them
  • Paranoid beliefs that others are planning conspiracy to hurt them
  • Beliefs that others can hear their thoughts
  • Beliefs that others are capable of inserting their thoughts in them
  • Beliefs that others will take away their possessions and so on.


Psychotics are usually ruled by the thoughts of suffering from a serious illness or disease. Medically termed as hypochondria, the condition make the patients believe that there are signs and symptoms of a disease in their body. In some cases, the patients believe that they are about to have a daunting disease.

Angriness and Agitation

Among the most common psychotic depression symptoms are acute angriness and agitation. The patients gain the tendency to become angry without any definite reason. They may also become agitating towards the suggestions and concerns that others show for them. In general, it becomes difficult to communicate with these patients.


Anxiety is quite closely related to depression. Extreme worries and stress is exhibited by these patients. These symptoms interfere with the routine life of the patients. They may become restless, irritated and may lose the ability to concentrate. The problem extends to sleeping disorders. Psychotics usually adopt the habit to sleep through the day and remain awake for full night.

Other Symptoms

  • Insomnia or difficulty to fall asleep
  • Intellectual disability or cognitive impairment that lowers down the mental abilities
  • Physical impairment may also be shown in extreme cases
  • Constipation and headache

Patients are usually ashamed of talking about the psychotic depression symptoms due to the fear of getting humiliated. Communication and counseling with a psychologist can help the patients. It is important to identify the condition at an early stage to avoid the risk factors like bipolar disorder and suicide.

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