학술논문
Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment
Document Type
Report
Source
Psychotherapy and Psychosomatics. April 1, 2021, Vol. 90 Issue 3, p160, 18 p.
Subject
Language
English
ISSN
0033-3190
Abstract
Author(s): Steven L. Dubovsky (corresponding author) [a,b]; Biswarup M. Ghosh [a]; Jordan C. Serotte [a]; Victoria Cranwell [a] Introduction Some clinicians believe that because modern rapid treatment of depression prevents [...]
Psychotic depression was initially considered to be at one end of a continuum of severity of major depression. Subsequent experience demonstrated that psychosis is an independent trait that may accompany mood disorders of varying severity. While much has been learned about the impact of severe mood congruent delusions and hallucinations on the course and treatment response of depression, less is known about fleeting or mild psychosis, mood incongruent features, or psychotic symptoms that reflect traumatic experiences. Acute treatment of psychotic unipolar depression generally involves the combination of an antidepressant and an antipsychotic drug or electroconvulsive therapy. There is inadequate information about maintenance treatment of unipolar psychotic depression and acute and chronic treatment of psychotic bipolar disorder. Decision-making therefore still must rely in part on clinical experience. Keywords: Antidepressants, Antipsychotics, Bipolar depression, Depressive disorder, Affective disorders, Psychosis, Psychotic depression, Mood disorders
Psychotic depression was initially considered to be at one end of a continuum of severity of major depression. Subsequent experience demonstrated that psychosis is an independent trait that may accompany mood disorders of varying severity. While much has been learned about the impact of severe mood congruent delusions and hallucinations on the course and treatment response of depression, less is known about fleeting or mild psychosis, mood incongruent features, or psychotic symptoms that reflect traumatic experiences. Acute treatment of psychotic unipolar depression generally involves the combination of an antidepressant and an antipsychotic drug or electroconvulsive therapy. There is inadequate information about maintenance treatment of unipolar psychotic depression and acute and chronic treatment of psychotic bipolar disorder. Decision-making therefore still must rely in part on clinical experience. Keywords: Antidepressants, Antipsychotics, Bipolar depression, Depressive disorder, Affective disorders, Psychosis, Psychotic depression, Mood disorders