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Classification by symptoms

Authoring team

The classification of depression into neurotic vs. psychotic is of little clinical use, except to indicate that psychotic depression is generally more severe.

The main concepts are:

  • neurotic depression is generally characterised by:
    • anxiety
    • phobia
    • obsessional symptoms
    • diurnal mood change, worse in the evening

  • psychotic depression:
    • delusions such as guilt, worthlessness, nihilism
    • hallucinations, usually auditory

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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