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Depresión grave con características psicóticas - Symptom

Nombres alternativos

Depresión psicótica; Depresión alucinatoria

Síntomas:

Las personas con depresión psicótica tienen síntomas de depresión y psicosis.

La psicosis es una pérdida del contacto con la realidad y generalmente incluye:

  • Delirios: falsas creencias acerca de lo que está sucediendo o de lo que uno es.
  • Alucinaciones: ver o escuchar cosas que no existen.

Los tipos de delirios y alucinaciones a menudo están relacionados con sus sentimientos de depresión. Por ejemplo, algunos pacientes pueden escuchar voces que las critican o que les dicen que no merecen vivir. La persona puede llegar a tener falsas creencias respecto a su cuerpo, por ejemplo, que tiene cáncer.

Pruebas y exámenes:

El médico llevará a cabo un examen físico y hará preguntas respecto a su historia clínica y síntomas. Sus respuestas y ciertos cuestionarios pueden ayudarle a su médico a diagnosticar esta afección y determinar qué tan grave puede ser.

Se pueden hacer exámenes de sangre y orina y posiblemente una gammagrafía del cerebro para descartar otras afecciones médicas con síntomas similares.

  • Reviewed last on: 2/24/2011
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; David B. Merrill, MD, Assistant Clinical Professor of Psychiatry, Department of Psychiatry, Columbia University Medical Center, New York, NY. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Fava M, Cassano P. Mood disorders: Major depressive disorder and dysthymic disorder. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 29.

American Psychiatric Association. Practice guideline for the treatment of patients with major depressive disorder, third edition. Arlington (VA): American Psychiatric Association; 2010 Oct. 152 p.

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