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The most severe form of depression is often referred to as “major depressive disorder with psychotic features” or “psychotic depression.” In this condition, individuals experience the typical symptoms of major depression, such as profound sadness, loss of interest, and physical changes, but with an added layer of psychosis.
Psychosis means that the person may have delusions (strongly held false beliefs) or hallucinations (perceiving things that aren’t real). In the context of psychotic depression, these experiences are often related to themes of guilt, worthlessness, or personal inadequacy.
Psychotic depression is considered severe because it significantly impairs a person’s ability to think clearly, make sound judgments, and maintain their daily life. It can also increase the risk of self-harm or suicide. However, with prompt and appropriate treatment, which typically involves a combination of medication and psychotherapy, individuals with psychotic depression can find relief and improve their overall mental health.
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