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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 ...
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]
Research shows that 50 to 75 percent of people with bipolar disorder experience psychotic symptoms at some point in the course of their illness, like delusions or hallucinations. Simultaneous ...
For example, a patient with depression with mixed features may have a depressed mood, but has simultaneous symptoms of rapid speech, increased energy, and flight of ideas. Conversely, a patient with hypomania with mixed features will present with the full criteria for a hypomanic episode, but with concurrent symptoms of decreased appetite, loss ...
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 ...
Psychotic symptoms such as delusions or hallucinations may occur in both manic and depressive episodes; their content and nature are consistent with the person's prevailing mood. [4] In some people with bipolar disorder, depressive symptoms predominate, and the episodes of mania are always the more subdued hypomania type.
The categories for specifiers will be removed in DSM-5 and criterion A will add or there are at least 3 symptoms of major depression of which one of the symptoms is depressed mood or anhedonia. [14] For Bipolar I Disorder 296.7 (most recent episode unspecified), the listed specifiers will be removed. [14]
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