What is Psychotic Depression? EXPLAINED

Depression is a mental illness characterised by dysphoria or anhedonia plus a bunch of other symptoms affecting concentration, sleep, mood and general level of functioning. When depression is severe (usually measured by how much functional impact it has) it can develop psychotic features. Things like hallucinations and delusions.

It is treated with psychotherapy, an antidepressant medicine and sometimes we add a dopamine antagonist (antipsychotic) or perform ECT.

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Hi there, I'm Syl. I'm a Junior Medical Doctor from Sydney, Australia. I'm new to the YouTuber space, so any feedback would be very welcomed!

Disclaimer: These videos are my opinion only and should be treated as such. They are not medical advice. I try my best to avoid any errors but if you feel something I said was incorrect please let me know. Please remember you cannot diagnose any condition based on YouTube videos and should see a healthcare professional if you are at all concerned. Finally, if anything in the video made you feel distressed consider seeing your healthcare professional or, in an emergency (if you're in Australia), call 000 or Lifeline 131114

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[JoeBidenIsAClown]

This happened to me. A life changing event caused me to go from a happy, very healthy and fit husband and dad to become depressed, anxiety ridden and suicidal. It got worse and worse, with massive weight gain. I tried as hard as I could to fight it without antidepressants. Then all at once, I began to hear voices, those voices began to turn to absolutely terrifying hallucinations. I finally gave in and took antidepressants. I’m happy to say that I am now two months in tapering off my antidepressants from 15mg and am at 2.5mg and feel amazing and began losing weight. I don’t wish psychosis depression or any form of depression to anyone.

[swedette]

This was the best video about psychotic depression. Its really horryfying to go through it. Interesting that its dealing with dopamine and seretonin.

[onefixitman]

I had to take my younger brother to the hospital today for this Psychotic Depression. He talked about aliens, National Security Administration, markers on dollar bills, moving to higher planes and talking to people that did not exist. I think he has been depressed for a while. I took some video of him this morning. He was completely out of balance and not himself at all. He said he had an equation that solved everything on the planet. He had a bunch of things written in a book and he was explaining to a neurosurgeon this equation. He was not good at algebra in school at all. I hope he gets well soon and they are able to treat him well. Thank you for this video.

[aleon]

I was dxed with this in my 20s (I'm in my 70s now). I was prescribed first generation antipsychotics (Thorazine etc), ended up with a schizoaffective dx. I saw a neuropsychiatrist in my 40s who said I had temporal lobe seizures (knew I had seizures) but that my depression would never go away until my seizures were under control and that other symptoms were other sorts of problems (OCD). He controlled the seizures and went 40+ with no seizures and no other episodes. Thorazine though screwed up my life for years. I think did more damage than good.

[KallieMae]

Thank you so much for really breaking this down for me. I have psychotic depression and this is the first video that I’ve seen that I can really identify with.

There absolutely is hope for anyone struggling. Of course we will have to live with the trauma for the rest of our lives but I’m so enthusiastic and relieved to finally be able to rest and just be a normal, boring ass person. When I was put on medication, after that initial relief period, I was like “you mean this whole time life has been this easy for everyone else and no one told me?!?!”

THERE IS HOPE. Hang in there my loves ❤ please get help. The longer you wait the longer you have to suffer.

[Mebbe]

My daughter has psychotic depression. She worked as a psychiatric nurse for 17 years. Too much stress and no back up from the NHS. She takes an antipsychotic and an antidepressant but still has Wobblies when stress rears it’s ugly head.

[tamarawurst]

Your enthusiasm and insight are absolutely fabulous ! Australia is lucky to have your talent. Thanks to YouTube for bringing it to the rest of the world.

[May-or-May-not]

I have bipolar 2 and because of that I thought I was safe from psychosis as I had only heard of it occurring with full blown mania.

Paranoia was a big sign that my depression had psychotic features. This went along with my delusions and gave me a lot of anxiety which I've never really struggled with before. I also kept seeing things out of the corner of my eye or shadows darting towards me, causing me to blink and then they were gone. I was very agitated and scared while also suffering really bad with the depression. It was hard for me to realize I was psychotic because my delusions were rooted in reality and actual real life problems, I just dialed them up to 11 and had this overwhelming feeling that the universe was out to get me by placing all these problems in my path.

It's making it so weird "waking up" from the psychosis because a lot of the problems are still there, I'm just able to view them in a different light. I still slip back into it occasionally though. It's hard. And the depression is still there, but getting slowly better.

[CatCambak]

I have schizophrenia. I did Ketamine IV treatments and it cured my social anxiety completely but not depression or avolition.

[jessicanghipandulwa]

I was diagnosed with the same illness i feel better i thank God i am doing better today it does work today i feel good about myself

[TheGatewayProductions]

Many thanks for this upload! Depression is devastating but we can beat it!

[boopdooper]

I was recently diagnosed with this along with PTSD and BDD. It helps so much to hear what's going on in my head explained. Thank you <3

[Zen_gamerboi]

My mother is going through this she was in depression for quiet a long time however recently she started shwoing symptoms of Psychosis as well this video is helpful cause i almost started feeling that there is no hope.

[Wrong-ce]

I HAVE DEALT WITH ALOT OF PEOPLE WITH THIS DIAGNOSIS. THESE PEOPLE R JUST LIKE BIPOLAR PEOPLE IN THE FACT THAT THEY R HIGHLY CREATIVE INDIVIDUALS. THEY USUALLY ENJOY CREATIVE TYPE OF ENDEAVORS THROUGHOUT THEIR LIFE. VERY INTERESTING PEOPLE TO KNOW AND APPRECIATE. MOST ALSO DONT HAVE THE ANGER AND SEVERE MOODS THAT COME WITH THE BIPOLAR SO..MOSTLY THEY WILL B PLEASANT TO BE AROUND. THEY CAN BE GREAT FRIENDS TOO. MUCH LOVE. HOWEVER, GETTING ANGRY IS SOMEWHAT OF A DIFFICULT MOOD FOR THESE PEOPLE AND SHOULD BE ADDRESSED BECAUSE EVERYONE GETS ANGRY.❤❤❤❤❤

[aamiri]

Thank you for making such a thoughtful and helpful video.

[boipelomofulatsi]

Dy Syl I am based in Johannesburg, South Africa and I have never consulted a GP who's given me the assurance that they were trying to assist me accordingly. One thing is that medical care in a third world country (let alone psychiatric care) is tricky and expensive. The consuming question I have been asked is "So how do you want me to help you?" ... Of which I'd assume as a medical practitioner you'd give me guide. It's so disheartening and tedious

[vincentwong]

Thank you for this nice and simple explanation :) keep up the great work!

[babyscarr]

I got dignose with PTSD and bipolar schizophrenia and psychosis and epilepsy sezuire from my brain tumor surgery 2 years ago when i passed away but I'm blessed to see 25 this year 💯

[aidadiaz]

I'm still depressed almost all the time, maybe 1 day in 2 weeks I feel good..
So dr told me I have TRD.. I've been doing my own research and I defenetely have Treatment Resistant Depression. But I've had somekind of hallucinations that I mostly know are right away but 3 ocations during the 2yr with MDD...
They where actually positive, like more or less what I'm missing from regular life "happened" to me, I participated and this time involved some friends and family...
So I found your video because a 3rd time is a pattern, and they are getting more intense and worse. They are gradually getting worse than the one before.
🥺 Maybe now, I do have Psychotic Depression...
My family don't believe in psychology or psychiatrist.. They say everything is will power, faith and to man up because there's a lot of people worse than me and they are not complaining or getting sick, they work and provide for the family and more...
Is kind of sad but, now here, is the 1rst time I say what happened with the hallucinations. And I can't tell my family because that is synonym to "officially crazy" and I'm not going to take that risk...
Again, TY for this, by now you can see how helpful is for me that topic in specific. Very clear and simple so any "jane doe" can understand so - yay!!!
Liked, subscribed, etc. 🙏😌

[KJensenStudio]

Good overview of this horrible condition. I wonder if this ever changes into something fully psychotic if it's left untreated? Like, can you become fully schizophrenic or psychopathic, with the depression part just sort of repressed?