Psychotic Depression: Diagnosis, Differential Diagnosis, and Treatment
Autor: | Jordan C Serotte, Victoria Cranwell, Steven Dubovsky, Biswarup Ghosh |
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Rok vydání: | 2020 |
Předmět: |
medicine.medical_specialty
Psychosis Bipolar Disorder medicine.medical_treatment Psychotic depression Diagnosis Differential 03 medical and health sciences 0302 clinical medicine Electroconvulsive therapy mental disorders medicine Humans 030212 general & internal medicine Bipolar disorder Psychiatry Applied Psychology Depression (differential diagnoses) Depressive Disorder Major business.industry Depression General Medicine medicine.disease 030227 psychiatry Psychiatry and Mental health Clinical Psychology Mood Mood disorders Psychotic Disorders Antidepressant business |
Zdroj: | Psychotherapy and psychosomatics. 90(3) |
ISSN: | 1423-0348 |
Popis: | 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. |
Databáze: | OpenAIRE |
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