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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]
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 ...
Episodes may also be mood-incongruent: a patient may laugh uncontrollably when angry or frustrated, for example. [1] Sometimes, the episodes may switch between emotional states, resulting in the patient crying uncontrollably before dissolving into fits of laughter.
The aberrant salience model suggests that delusions are a result of people assigning excessive importance to irrelevant stimuli. In support of this hypothesis, regions normally associated with the salience network demonstrate reduced grey matter in people with delusions, and the neurotransmitter dopamine , which is widely implicated in salience ...
The delusion, if acted out, often leads to behaviors which are abnormal, and out of character, although perhaps understandable in light of the delusional beliefs. Other people who know the individual observe that the belief and behavior are uncharacteristic and alien. Additional characteristic of delusional disorder include the following: [17]
The mental status examination (MSE) is an important part of the clinical assessment process in neurological and psychiatric practice. It is a structured way of observing and describing a patient's psychological functioning at a given point in time, under the domains of appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perception, cognition, insight, and ...
Paradoxical laughter has been consistently identified as a recurring emotional-cognitive symptom in schizophrenia diagnosis. Closely linked to paradoxical laughter is the symptom; inappropriate affect, defined by the APA Dictionary of Psychology as "emotional responses that are not in keeping with the situation or are incompatible with expressed thoughts or wishes". [3]
For example, a person may believe that they are in fact not in the hospital to which they were admitted, but an identical-looking hospital in a different part of the country. [ 8 ] Cotard's syndrome is a rare disorder in which people hold a delusional belief that they are dead (either figuratively or literally), do not exist, are putrefying ...