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7 Signs of Major Depression with Psychotic Features



7 Signs of Major Depression with Psychotic Features

Depression is a difficult condition to live with and affects the way a person functions and how they feel about the world around them. However, depression comes in many different forms and impacts each person differently. Sometimes depression may come with delusions or hallucinations, known as psychotic features – earning the name: psychotic depression. To better understand what exactly psychotic depression is, here are a few signs of major depressive disorder (MDD) with psychotic features.

Disclaimer: This video is for informative purposes only. It is not intended to diagnose any conditions or give mental health advice. Please reach out to a healthcare provider or mental health professional if you are struggling.

We also made a video on the signs you’re depressed, not sad: https://youtu.be/cLF1xntO3xs

If you are feeling depressed or contemplating suicide please remember that you are not alone.

Suicide Hotlines:
America: 1-800-273-TALK (8255)
Canada: 1-866-531-2600
Australia: 13 11 14
United Kingdom: +44 (0) 8457 90 90 90
Beijing: 0800-810-1117
Hong Kong: +852 28 960 000
Japan/Tokyo: 81 (0) 3 5286 9090
Brazil: 55 11 31514109 or (91) 3223-0074
Mexico: 9453777
Germany: 0800 111 0 111
Russia: (495) 625 3101
India: 91-22-27546669
Iran: 1480
South Africa: 0800 12 13 14

This is only a short list of a few countries, however there is always somebody to reach out to.

Mental Health Hotline: https://unitedgmh.org/mental-health-support

Writer: Sidney Thompson
Script Editor: Rida Batool
Script Manager: Kelly Soong
VO: Amanda Silvera
Animator: Zuzia
YouTube Manager: Cindy Cheong

References:

Black, R. (2019, April 10). Psychotic Depression: What It Is and What You Should Know. Psycom.Net – Mental Health Treatment Resource Since 1986. www.psycom.net/psychotic-depression-what-you-should-know

Brightquest. (2020, July 5). Major Depression with Psychotic Features –. BrightQuest Treatment Centers. www.brightquest.com/major-depression/major-depression-psychotic-features/

Kerr, M. (2018, September 5). Major Depression with Psychotic Features (Psychotic Depression). Healthline. www.healthline.com/health/depression/psychotic-depression#symptoms

National Institute of Mental Health. (2019, February 1). NIMH » Major Depression. NIMH. www.nimh.nih.gov/health/statistics/major-depression.shtml

Rothschild, A. (2019, May 29). Unipolar major depression with psychotic features: Acute treatment. UpToDate. www.uptodate.com/contents/unipolar-major-depression-with-psychotic-features-acute-treatment

U.S National Library of Medicine. (2020, August 25). Major depression with psychotic features. Medline Plus. medlineplus.gov/ency/article/000933.htm

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44 Comments

  1. @Psych2go on

    If you are feeling depressed or contemplating suicide please remember that you are not alone.

    Suicide Hotlines:
    America: 1-800-273-TALK (8255)
    Canada: 1-866-531-2600
    Australia: 13 11 14
    United Kingdom: +44 (0) 8457 90 90 90
    Beijing: 0800-810-1117
    Hong Kong: +852 28 960 000
    Japan/Tokyo: 81 (0) 3 5286 9090
    Brazil: 55 11 31514109 or (91) 3223-0074
    Mexico: 9453777
    Germany: 0800 111 0 111
    Russia: (495) 625 3101
    India: 91-22-27546669
    Iran: 1480
    South Africa: 0800 12 13 14

    This is only a short list of a few countries, however there is always somebody to reach out to.

    Mental Health Hotline: https://unitedgmh.org/mental-health-support

  10. @mently_unstable22 on

    Was diagnosed with major depressive disorder with phycotic features, depression only got worst as my delusion got worst which would then lead to phycotic episodes, the voices saying I'm pathetic and nobody could ever love me , saying I deserve to be unhappy, crying, and suicidal I deserve to suffer. Never know why but they'd come in affect my perspective on things for example, I'd cry my mom would move on and not care which would then confirm my thoughts adding to the fuel, saying things like "see even she doesn't like you" as they came more and more id spiral. Start banging my head against walls, scratch my arms so bad I left bruises and marks, crying hysterically and pulling out my hair, it's scary to have your mind be your biggest enemy.

  13. @JohnPatrick8242 on

    I remember this in college.

    It was about three years after that I tried describing this to a mental health officer I happened to have been working with and he just said, "Dude… that actually sounds like psychosis." I remember almost feeling like a dementia patient.

    I would drag myself out of bed in the middle of depressive episodes, and pull myself to class. Even if I slept enough, I always woke up more exhausted; I never had dreams.
    I would sit and try to listen to the professor, but its as if I was listening to someone speak in a completely different language, so I would leave class having no idea what had just happened.
    I would look at myself in the mirror and get scared because I didn't recognize myself.
    At its height, I couldn't think properly, and I couldn't even talk because my brain couldn't find words properly (think of that "tip of your tongue" moment, but literally every time you tried to speak).
    One of my professors tried asking me what I'd been working on the prior week, and I just sat there and stared because I had no recollection of what had happened the week before… of anything, actually.
    When I was in the ER, they tried to ask me what month and year it was, but I couldn't tell them.
    Most of all, reality was just so hazy that I was never fully sure if I was awake or dreaming.

    I won't go into the emotional/Sxicidal elements of it all, but it was all frighteningly there, believe me.

    Crazy time, but I graduated a while back and haven't had an episode in almost 5 years now… It's a slow process, but hang in there.

  18. @EveryDay1mHufflin on

    I rarely find a video where i feel heard and understood. This is one of those few. I have a lot of the symptoms discussed. Thank you for explaining it without using a judging tone. This page is really good at that.

  20. @kem2271 on

    I think you should clarify that having some of these symptoms on their own are NOT indicative of psychotic features of major depression.

  22. @Aleksi_the_Rabbit on

    I very likely had this last year. Since that point in my life has passed, I do not know if I can still get it diagnosed. I do not have it anymore, but I would like to know if I did.

  24. @user-yh9jj7ux3j on

    depression develops as the brains unhealthy way of coping by suppressing and becoming less reactive / responsive to an experience / episode due to a lack of energy. the brain becomes constantly overwhelmed by repetitive experiences that the only way to avoid them is to shut down and numb the entire body and brain. (idk if thats scientifically true but, that's how it feels sometimes)

  27. @Felixhithisheadwithmetal on

    As someone who is professionally diagnosed with Psychotic depression, there is definitely a lot, lot more to this disorder than provided in a 5 minute video. This is pretty accurate, though.

  30. @rolandms1 on

    I been searching these symptoms for the last 2 years. I'm very aware that I suffer from depression. But there's this wall between me and the outside world built from shame, insecurity, guilt and so on. My boyfriend says I'm prideful and he maybe right. I'm sure you guys can relate. So I keep it all inside. I'm going to a clinical study tomorrow for depression. Of course I think that I'm gonna be turned away and not what they need in their study. After failing In life, failure after failure I just know this will be another failure and I'll be back to my ways of isolation and these walls are gonna intensify and I'm gonna slip further into this thing that I can't seem to get away from. It's gonna be hard to sleep tonight. I'm gonna be imagining me talking to the staff and thinking of what I might say and reveal about my depression. Am I too depressed for their study? Will I sound like I'm lying to them. It's hard to admit my shame. I really don't like bringing up my failures. I avoid it at all cost. I'm gonna have to really dig deep and handle the vulnerable moments as I'm facing my depression and showing it to strangers….. I'm definitely not gonna be able to sleep. I have to go the the clinical studies at 830 am tmw. In 8 hours from now.

  31. @cheyros5027 on

    I have psychotic depression and a few things I might add: intense paranoia or delusions that you are talking to someone or like the YouTuber effect where you feel like you’re constantly in an interview or on stream. Like sometimes I feel like I’m being watched and it’s scary but sometimes I feel like I’m being watched but with a god complex, like I’m so interesting of course people would want to watch me.
    And lastly, blurred vision. Part of it for me is I’m withdrawing from nicotine dependence but in the past as a teen when I’d get really in the thick of my depression, my vision would get pretty bad and it was hard to focus my eyes.

  34. @LorleyIsHere on

    I felt empty since middle school,Got diagnosed with MDD last year and still am depressed and im 18 this year.I had pills but I lied telling the doctor that it made me better because. I knew it wasn't working and lied about it for 2 months since I went to a pychward for being s**cidal. I haven't gotten better because my body is immune to the pills. But please anyone who is going through this as well…Please continue living❤

  39. @Moon_cherrytea on

    I have this. It mostly comes in form of dissociative disorders but with hallucinations. My first hallucination was seeing a gun and screaming, then it got worse. I'd see my parents yelling and screaming and I'd cry and scream back before snapping out of it and realising they aren't there and I was crying over a hallucination. I'd find myself curled up in a ball begging the "voices" to go away even though there's no one there

  41. @TuniAl-Salahuddin on

    Yeah my older sister has mental illness that comes from her biological dads side of his family. and severe depression dillusions no body wants to deal with her. she has stigma they all do. I don't have mental illness or stigmas, but it is sometimes a bit much dealing with people with mental illness. I do my best. I have to treat her like a child, because she can not reason at all and talks like a 4 year old at times. She has no drug addiction nor do I. I find myself having to work to supplement her income because she can not keep a job and she lies alot, but loves podcast like most mental ill people.