Many depressed people hide their psychosis from doctors
Many people think psychosis only strikes people with schizophrenia. In fact, about one in five people with severe depression also experience breaks with reality. You might hear a voice berating or taunting you, or believe you committed a crime that never occurred.
To diagnose major depression, a psychiatrist looks for at least five of these symptoms over two weeks or more: agitation or slow motor function, changes in appetite or weight, low mood, trouble concentrating, guilt, sleeping too little or too much, losing interest or pleasure in most activities, low energy, and thoughts of death or suicide. If you also have delusions or hallucinations, you will be diagnosed as having “depression with psychotic features.” more