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Psychotic Depression: What it feels like to endure it.

Updated on June 20, 2016

What is Psychotic Depression

Psychotic depression is a major episode usually happening in the context of a bipolar disorder. This type of depression is treated with anti psychotic and antidepressant medication used to help fight negative feelings of that can plunge a persons life attitude down and trap them into cycle of psychotic behavior. Many people with this illness are either unwilling or unable to seek out help for their own sake, they often feel very emotionally numb and their thinking becomes impaired as well. This mental disorder falls under the characteristic of delusions, false thoughts and halluciantions come along with an inability to sleep for those who suffer from it. Insomnia is common amongst those who have psychosis. Sources say that delusions associated with the illness can cause suicidal thoughts that are far much stronger than those who suffer from other conditions. Dellusion meaning that those who have experienced a traumatic event in their lives consintaly make the memory worse, firmly believing in something that differs from the context of reality,

Psychotic symptoms include:

  • Dellusions
  • hallucinations
  • paranoia

Hallucinations are experienced with the loss of sleep or reality that an individual can develop as a result of no treatment what so ever for the illness. It generally takes a serious loss of cognitive function to experience hallucinations that overtake regular function of the brain. Those who experience hallucinations see things that aren't there. Their visionary aspects are all affected leaving those who are affected hopeless in terms being able to take care of themselves while doing things like errands. Paranoia affects most of those who cannot get over the feeling that are being pursued or that their are malicious people out their plotting agianst them. Those who have been attacked or who had their information stolen often suffer from delusional thoughts that contradiction cannot simply asses to their minds after having been made vulnerable in a trouble ling situation. Events like having information stolen or being a victim of stalking can hinder the progression of psychotic paranoia that those with psychosis suffer from.

Indicators of Psychosis & treatment

there are a number of symptoms that can help with an accurate diagnosis of this depressive disorder. Some of them include:

  • agitation or slow motor function
  • changes in appetite or weight
  • depressed mood
  • difficulty concentrating
  • feelings of guilt
  • insomnia or sleeping too much
  • a lack of interest or pleasure in most activities
  • low energy levels
  • thoughts of death or suicide
  • some of these indicators are involved with the questions that would be commonly asked by psychology professionals and hospital staff throughout a psychward members day in the hospital. If a person has strong inclination to a few or more of these symptoms then, it would mean that the person is in need of immediate attention by professionals around. Strong feelings of these symptoms can also create feelings of suicide, that seem almost unavoidable.

Electroconvulsive Therapy (ECT)

The second treatment option is electroconvulsive therapy (ECT). This treatment is typically performed in a hospital and involves putting you to sleep with general anesthesia.

Your psychiatrist will administer electrical currents in controlled amounts through the brain. This creates a seizure which impacts your levels of neurotransmitters in the brain. This treatment does have side effects, including short-term memory loss. However, it’s thought to work quickly and effectively for people with suicidal thoughts and psychotic symptoms.

Your psychiatrist can discuss these options with you and your family to determine the best course of treatment for your condition. Because relapse is possible, your psychiatrist may recommend taking medicines after ECT as well.


Your doctor may treat you for this condition or refer you to a licensed mental health professional who specializes in the use of medications for these conditions.

Mental health providers may prescribe a combination of antidepressants and antipsychotics. These medications impact neurotransmitters in the brain that are often out of balance in a person with this condition.

Examples of these medications include selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac). This may be combined with an atypical antipsychotic.

However, these drugs take several months to be most effective.

The stress involved in Psychotic symptoms

Psychotic Depression alters how cortisol in the body is produced and also increases its production in the body. As mentioned earlier thought and emotion is seriously numbed to point were it cannot be felt during daily activity. It would take an action such as exercising to help uplift the mood of an affected individual. The fact that patients with major depression exhibit decreased brain serotonin (5-hydroxytryptamine, 5-HT) function and elevated cortisol secretion has reached the status of textbook truism. More recent formulations have suggested that elevated cortisol levels, probably caused by stressful life events, may themselves lower brain 5-HT function and this in turn leads to the manifestation of the depressive state. Half of all people with depression "hypersecrete" cortisol, having to deal with the associated feeling unwillingly regardless of what is done to fix it.


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