Psychotic depression: psychoanalytic psychopathology in relation to treatment and management
Article Abstract:
There are various and conflicting viewpoints on the best treatment and management for psychotic depression. This lack of agreement may be partly attributed to antipathy toward the psychoanalytic approach arising from the fact that the language of psychoanalysis is often poorly understood by laypersons. In recent years, there has been a move toward more multidisciplinary care. With this has come the need for a common language from which one may draw a picture of psychiatric illness. Rivalry among various disciplines has also created some problems. Effective long-term community care requires the maintenance of consistent services of reasonable quality. An interdisciplinary knowledge base is important for effective management of psychotic depression and other psychiatric disorders. Even in cases where psychotherapy is not the treatment of choice, because of high risk for suicide or other factors, awareness of analytic psychopathology helps to inform the clinician and aid in decision making. Psychosocial and familial issues should also be considered before a treatment program is implemented. A case study is presented to illustrate the usefulness of a multidisciplinary approach to psychiatric care of psychotic depression. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: British Journal of Psychiatry
Subject: Health
ISSN: 0007-1250
Year: 1991
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The treatment of monodelusional psychosis associated with depression
Article Abstract:
Delusional parasitosis, monosymptomatic hypochondriacal psychosis, paranoid jealousy, and erotomania are four psychiatric disorders that have in common the presence of a single delusion followed by depression and a similar response to drug therapy. The classification of such disorders has been unclear because of the presence of delusions and depression. Because the delusions precede the depression, a diagnosis of delusional depression is incorrect. In the four cases presented, patients failed to improve when treated with various antidepressant and antipsychotic medications. They all responded, however, to a combination of clomipramine, an antidepressant, and pimozide, a neuroleptic. It is suggested in these cases that where depression is preceded by delusion, the depression is a reaction to the delusion, and therefore the disorders should be considered delusional disorders with depression. Each component is a separate disorder and must be treated as such. (Consumer Summary produced by Reliance Medical Information, Inc.)
Publication Name: British Journal of Psychiatry
Subject: Health
ISSN: 0007-1250
Year: 1990
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