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People with psychotic depression experience the symptoms of a major depressive episode, along with one or more psychotic symptoms, including delusions and/or hallucinations. [2] Delusions can be classified as mood congruent or incongruent, depending on whether or not the nature of the delusions is in keeping with the individual's mood state. [2]
This list features both the added and removed subtypes. Also, 22 ICD-9-CM codes were updated. [2] The ICD codes stated in the first column are those from the DSM-IV-TR. The ones that were updated are marked yellow – the older ICD codes from the DSM-IV are stated in the third column.
.23 Severe without psychotic features.24 Severe with psychotic features.20 Unspecified.3x Major depressive disorder, recurrent .36 In full remission.35 In partial remission.31 Mild.32 Moderate.33 Severe without psychotic features.34 Severe with psychotic features.30 Unspecified; 300.4 Dysthymic disorder; 311 Depressive disorder NOS
Psychotic major depression (PMD), or simply psychotic depression, is the term for a major depressive episode, in particular of melancholic nature, wherein the patient experiences psychotic symptoms such as delusions or, less commonly, hallucinations. These are most commonly mood-congruent (content coincident with depressive themes). [16]
The International Classification of Diseases (ICD) is an international standard diagnostic classification for a wide variety of health conditions. The ICD-10 states that mental disorder is "not an exact term", although is generally used "...to imply the existence of a clinically recognisable set of symptoms or behaviours associated in most cases with distress and with interference with ...
By contrast, mood incongruence occurs when the individual's reactions or emotional state appear to be in conflict with the situation. In the context of psychosis, hallucinations and delusions may be considered mood congruent (such as feelings of personal inadequacy, guilt, or worthlessness during a bipolar disorder depressive episode) or ...
Generally, diseases outlined within the ICD-10 codes F30-F39 within Chapter V: Mental and behavioural disorders should be included in this category. Mood disorder is the term given for a group of diagnoses in the DSM IV TR classification system where a disturbance in the person's emotional mood is hypothesised to be the main underlying feature.
Schizoaffective disorder is a mental disorder characterized by symptoms of both schizophrenia and a mood disorder - either bipolar disorder or depression. [4] [5] The main diagnostic criterion is the presence of psychotic symptoms for at least two weeks without prominent mood symptoms. [5]