Journal of Psychosocial Nursing and Mental Health Services

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Psychopharmacology 

Pharmacotherapy for Psychotic Depression

Robert H. Howland, MD

  • Journal of Psychosocial Nursing and Mental Health Services. 2006;44(12):13-17
  • Posted December 1, 2006

Abstract

EXCERPT

Major depression with psychotic features (i.e., psychotic depression) is a severe mood disorder found in approximately 20% of patients hospitalized for depression (Rothschild, Mulsant, Meyers, & Flint, 2006). Among elderly inpatients with depression, the prevalence is even higher (approximately 40%). Psychotic depression is more common among older patients and may be associated with a higher risk of cognitive impairment and dementia. By contrast, younger patients with psychotic depression may be more likely to have underlying bipolar disorder.

Abstract

EXCERPT

Major depression with psychotic features (i.e., psychotic depression) is a severe mood disorder found in approximately 20% of patients hospitalized for depression (Rothschild, Mulsant, Meyers, & Flint, 2006). Among elderly inpatients with depression, the prevalence is even higher (approximately 40%). Psychotic depression is more common among older patients and may be associated with a higher risk of cognitive impairment and dementia. By contrast, younger patients with psychotic depression may be more likely to have underlying bipolar disorder.

Authors
Dr. Howland is Associate Professor of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, Pittsburgh, Pennsylvania.

The author discloses that he has no significant financial interests in any product or class of products discussed directly or indirectly in this activity, including research support.

Address correspondence to Robert H. Howland, MD, Associate Professor of Psychiatry, University of Pittsburgh School of Medicine, Western Psychiatric Institute and Clinic, 3811 O’Hara Street, Pittsburgh, PA 15213; e-mail: HowlandRH@upmc.edu.

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