Status: 08.12.2023, 20:30 PM
By: Judith Braun
Classic depression can sometimes be accompanied by psychosis. Experts refer to this as psychotic depression. Those affected suffer from a loss of reality.
According to information from the German Depression Aid, depression is one of the most common and most underestimated illnesses in terms of its severity. According to the Federal Ministry of Health, older people are affected more often than younger people and women are more likely to be affected than men. The latter also differ from female patients in terms of symptoms of depression, which often makes diagnosis in men more difficult. But the different forms of depression also have different symptoms. For example, those affected by psychotic depression can sometimes suffer from hallucinations.
Psychotic depression: Sufferers often suffer from hallucinations as a symptom
Delusions and hallucinations are typical symptoms of psychotic depression. (Symbolic image) © imagebroker/begsteiger/IMAGO
Probably the best-known and "classic" form of depression is the so-called unipolar depression. It is the most common form of depression, according to the Health Knowledge Foundation. It can be recognized, among other things, by typical symptoms such as dejection, depressed mood, lack of joy and interest, and exhaustion. But sleep disorders are also possible. If a person with a depressive disorder also loses awareness of reality, he or she may be suffering from psychotic depression.
Thus, in some cases, psychosis is added to depression. This, in turn, manifests itself through delusions. These are unrealistic assumptions that are not confirmed by others. However, hallucinations may also occur. Those affected then believe that they see or hear something that is not there in reality. Some patients also become paranoid and believe that everyone is against them. Or that other people think they are the cause of bad events in their environment, such as illnesses. Some sufferers with psychotic depression also believe that they themselves are bad or evil and are being watched or even persecuted.
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Forms of depression – and how they differ
In addition to psychotic depression, there are other special forms of mental illness. People with agitated depression, for example, have increased motor activity. Those affected then suffer from restless movements, repeat the same questions over and over again, or share plaintive descriptions of their complaints. Highly functional depression, on the other hand, is characterized by the fact that patients appear successful on the outside, while they are desperate on the inside.
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Are you depressed? You can get help around the clock with the telephone counselling service – every day of the year: Call 0800 1110111 or 0800 1110222. The call is free of charge. Your phone number won't be transferred and you won't have to say your name. The conversation lasts as long as necessary.
This article only contains general information on the respective health topic and is therefore not intended for self-diagnosis, treatment or medication. It is in no way a substitute for a visit to the doctor. Individual questions about clinical pictures may not be answered by our editorial team.