Psychotic Depression ?
I totally embrace personal responsibility, but do not think that the *law*
should be able to imprison me for every kind of harm I cause others. Emotional
harm is a big net, and if we let the state sanction for that, then all
adulterers properly go to prison. Do you think that would be right? Or should
we limit prison for people who rape, rob and murder, and otherwise commit
direct harm to person or property?
believe I already reminded you a couple of years ago
to make space between 'Address:(space) http://'. If you don't
one cannot simply press on the link and be taken straight to the page.
Personally, I think you can leave out 'Address', but that's up to you.
I have equally met people who "lay on the bed all day and night,
and cried when the sun shone through the window because the light
was too bright. The point is, so far as they were able to answer
questions of fact at all, I never once heard them give a false or
delusory answer about matters of fact. I would say that is more
typical of severe clinical depression than psychotic depression.
We use the DSM IV as a help in diagnostics a psychotic depression is a
clinical severe depression with psychotic symtoms. They usally are not
desorientated, thats correct.
That's not quite what I meant: my (admittedly small) experience of
severe depressives is that I never actually met one who was in the
slightest DELUSORY i.e. met the criteria for psychotic depression,
typically delusions of being punished or imprisoned. I never saw
a delusory one. As best I know, psychotic depression is quite rare.
I'm surprised it is that high, but... can you fill me in a bit more
on the subject. Apart from the fact people with paranoid schizophrenia
demonstrate high activity and delusions of being plotted against, while
people with psychotic depression show low activity and delusions of
being punished, are the two psychotic states essentially similar;
for example, have people with psychotic depression become unable to
de-sense to a second instance of a stimulus which startled them once?
Is there any good (brief, simple) reading on the subject??
Consistent with findings from previous clinical studies, only about
14% of major depressions were accompanied by psychotic features.
Psychotic as compared with nonpsychotic depression had a more severe
course, as reflected in increased risk of relapse, persistence over 1
year, suicide attempts, hospitalization, comorbidity, and financial
dependency. These differences could not be explained by differences in
demographic characteristics or by symptom severity, as assessed by
symptom profile or number of symptoms. The boundary problem with
schizophrenia and bipolar affective disorder that is seen in clinical
studies was also found in this sample. To our knowledge, this is the
first study to examine the validity of psychotic depression in a
community sample; the findings are consistent with those from clinical
samples. They support the clinical significance of psychotic
depression and the continuation of its inclusion as a distinct subtype
in DSM-IV.