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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]
Other psychiatric disorders must then be ruled out. In delusional disorder, mood symptoms tend to be brief or absent, and unlike schizophrenia, delusions are non-bizarre and hallucinations are minimal or absent. [8] Interviews are important tools to obtain information about the patient's life situation and history to help make a diagnosis.
Peduncular hallucinosis is more common in patients with a long duration of Parkinson's disease and also with a long treatment history, depression, and cognitive impairment. [4] Paranoid delusions are common in these patients even though the hallucinations can occur during clear sensorium .
Brief psychotic disorder—according to the classifications of mental disorders DSM-IV-TR and DSM-5—is a psychotic condition involving the sudden onset of at least one psychotic symptom (such as disorganized thought/speech, delusions, hallucinations, or grossly disorganized or catatonic behavior) lasting 1 day to 1 month, often accompanied by emotional turmoil.
Auditory hallucinations have two essential components: audibility and alienation. [7] This differentiates it from thought insertion. While auditory hallucination does share the experience of alienation (patients cannot recognize that the thoughts they are having are self-generated), thought insertion lacks the audibility component (experiencing the thoughts as occurring outside of their mind ...
In rare instances, it can include delusions of immortality. [9] Syndrome of delusional companions is the belief that objects (such as soft toys) are sentient beings. [10] Clonal pluralization of the self, where a person believes there are multiple copies of themselves, identical both physically and psychologically, but physically separate and ...
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