Psychotic Depression with Dr. Cummings

35 snips

Dec 22, 2023

In this podcast, the underreporting of psychotic symptoms in depression is discussed, along with the higher suicide rate in individuals with psychotic depression. The use of acceptance and commitment therapy (ACT) and antipsychotics for treatment is explored. The differences between nightmares in PTSD and malingering are examined. The complexities of treating psychotic depression and alternative approaches, such as ECT and ketamine, are discussed. The mechanisms and diagnosis of depression and delirium are explained. The importance of identifying and treating UTIs in elderly patients to prevent delirium is emphasized. The speaker's approach to assessing patients for medical issues is outlined. The potential differential diagnoses for psychotic depression, including substance use disorder and borderline personality disorder, are explored. The Bush-Francis-Catatonia Scale and treatment with lorazepam are discussed. The process of administering intramuscular medication for psychotic depression is explained.