Psychotic symptoms

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You may have psychotic symptoms if you are suffering from severe depression.

If you are suffering from psychotic depression, you will also have negative thoughts. Your thoughts are unrealistic and difficult for others to understand, as they have no basis in reality. You may think that you are the guilty party in major accidents and catastrophes. You may also be convinced that you are a bad person. You may think that you are such an awful person that you deserve a severe punishment.

Your appetite may be reduced and your physical condition may become critical. In some cases you may stop eating and drinking completely. This situation quickly becomes life-threatening, where admittance into psychiatric care is required immediately.

Paranoia

During a bout of psychotic depression you may become paranoid and feel persecuted. You may be convinced that certain people or secret organisations are out to harm or punish you. While you might see yourself as an innocent victim, you are more likely to think that you deserve to be persecuted and punished.

Hallucinations

Psychotic depression can cause hallucinations. These may include voices that put you down and say you should be punished. They can also encourage you to punish yourself - perhaps even to commit suicide.

When severely depressed you may seriously contemplate suicide. If you suffer from severe depression, you may require a period of intensive psychiatric care in a hospital.

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Unrealistic thoughts

When suffering from psychotic depression, you will not view life realistically. You are not in a position to take care of yourself and the situation can become dangerous. You must always be admitted for your own protection and for treatment when you are suffering from psychotic depression.

If the situation becomes critical or dangerous, you must call a family physician - either your own family physician or the physician on call. He or she will ensure that you are admitted. If necessary, you may be admitted to psychiatric care.

One autumn an elderly man was admitted into psychiatric care with severe depression. He was anxious, restless and had psychotic symptoms. He could not sit still, he was agitated. His story gradually emerged with remorse and sighs. It went as follows:

During the summer we spend most of the time at our holiday house where we grow vegetables. We prepare food with a little gas stove that uses bottled gas. During the spring we made everything ready for the summer, and I tidied up the shed as usual.

There I found a bottle of gas. There was still a small amount of gas left and I decided it was dangerous to leave it as it was, so I took a screwdriver and pushed in the valve to let the gas out. I then put the bottle back as I planned to change it for a new one later.

The summer was hot and dry. Although there was a water ban, we watered our vegetables in secret. Nevertheless, the ground dried up and split. The leeks and other vegetables withered and died.

I know that I caused the drought by letting the gas out. I destroyed the ozone layer. My vegetables from our harvest were not the only crops to fail. I am also responsible for the droughts and famines elsewhere in the world.

The other day I saw a programme about the famine in Africa - children were dying. I feel that I no longer have the right to live.

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