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Classification by symptoms

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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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