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The HPA axis appears to be dysregulated in psychotic depression, with dexamethasone suppression tests demonstrating higher levels of cortisol following dexamethasone administration (i.e. lower cortisol suppression). [2] Those with psychotic depression also have higher ventricular-brain ratios than those with non-psychotic depression. [2]
The following diagnostic systems and rating scales are used in psychiatry and clinical psychology.This list is by no means exhaustive or complete. For instance, in the category of depression, there are over two dozen depression rating scales that have been developed in the past eighty years.
The Brief Psychiatric Rating Scale (BPRS) is a rating scale which a clinician or researcher may use to measure psychiatric symptoms such as depression, anxiety, hallucinations and unusual behaviour. The scale is one of the oldest, most widely used scales to measure psychotic symptoms and was first published in 1962. [1]
Schizoaffective disorder is a mental disorder characterized by symptoms of both schizophrenia and a mood disorder, either bipolar disorder or depression. [4] [5] The main diagnostic criterion is the presence of psychotic symptoms for at least two weeks without prominent mood symptoms. [5]
A forensic psychiatric assessment may have a number of purposes. A forensic assessment may be required of an individual who has been charged with a crime, to establish whether the person has the legal competence to stand trial. If a person with a mental illness is convicted of an offense, a forensic report may be required to inform the Court's ...
Psychosis is noted in Other specified schizophrenia spectrum and other psychotic disorders as a DSM-5 category. Schizoaffective disorder is diagnosed if symptoms of mood disorder are substantially present alongside psychotic symptoms. Psychosis that results from a general medical condition or substance is termed secondary psychosis. [10]
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