Delusions in Psychotic Depression

(Mnemonic: GINPH)

● Delusions of Guilt

● Delusions of Impoverishment (can also be considered as a type of nihilistic delusion.

● Nihilistic delusions, including Cotard syndrome

● Persecutory delusions*

● Hypochondriacal delusions

Patients with Psychotic depression consider these thoughts well-deserved unlike in schizophrenia where patients feel remorse towards them and mania where patients consider them a response to the great position they have earned.

When these delusions occur against a background of depressed mood, they are mood-congruent and favor the diagnosis of psychotic depression. When patients with depression have delusions of grandeur or even neutral delusions e.g. delusions of reference, they are mood-incongruent delusions" and favor the diagnosis of schizophrenia (ICD-10).

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