A patient has severe depression, hears a voice saying that the patient is worthless, and has delusions of guilt. Which condition is most consistent with these findings?

Correct answer: B. Major depressive disorder with psychotic features

  • A. Schizoaffective disorder
  • B. Major depressive disorder with psychotic features
  • C. Brief psychotic disorder
  • D. Delusional disorder, persecutory type

Explanation

Psychotic features that occur during a severe depressive episode and are related to the mood are consistent with major depressive disorder with psychotic features. Schizoaffective disorder requires a period of psychosis without a major mood episode.

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About Psychotic Disorders

Psychotic disorders involve disturbances in reality testing, including delusions, hallucinations, disorganized speech, disorganized behavior, and negative symptoms. Coverage includes schizophrenia and related disorders, assessment of thought content and perception, risk management, antipsychotic treatment, and the distinction between psychosis, delirium, substance effects, and mood disorders.

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