Psychotic depression is a severe form of depression that includes symptoms of psychosis, such as hallucinations or delusions. It can deeply affect how a person thinks, feels, and functions day-to-day.
At Talking Therapies UK, we provide professional online therapy for psychotic depression, helping individuals manage symptoms, rebuild stability, and work towards recovery. Our qualified therapists offer structured, compassionate support in a safe, confidential online setting.
The exact cause of psychotic depression is not fully understood, but research suggests a combination of biological, psychological, and environmental factors may contribute.
Persistent feelings of sadness, hopelessness, and worthlessness.
Seeing, hearing, or feeling things that aren’t there.
Strongly held false beliefs that are not based in reality.
Significant changes in sleep patterns, such as insomnia or hypersomnia.
Significant weight loss or gain, or changes in eating habits.
Constant tiredness and lack of energy.
Recurrent thoughts of death or suicide, or a suicide attempt.
The exact cause of psychotic depression is not fully understood, but it likely involves a combination of genetic, biological, and environmental factors. Risk factors include:
Genetic predisposition to depression or psychotic disorders.
Imbalances in neurotransmitters.
Exposure to traumatic events or severe stress.
Significant life changes such as bereavement, relationship issues, or financial problems.
Supporting a loved one with psychotic depression can be challenging. Here are some steps to help:
Encourage open and honest conversations. Let them know you are there to listen without judgment.
Learn about psychotic depression to understand what your loved one is experiencing.
Suggest that they seek professional help and offer to support them in finding and accessing treatment.
Recovery takes time. Be patient and provide consistent emotional support.
If your loved one has thoughts of self-harm or suicide, ensure their safety by seeking immediate professional help.
At Talking Therapies UK, we provide structured, evidence-based online therapy for psychotic depression designed to address both depressive and psychotic symptoms. Our approach may involve the following elements:
Medication is managed by a GP, Psychiatrist, Physician Associate, Advanced Nurse Practitioner, or medical prescriber.
While our therapists do not prescribe or manage medication, we can work collaboratively with your prescriber — with your consent — to confirm that you are accessing psychological therapy as part of your overall treatment plan.
CBT helps individuals identify and challenge distressing thought patterns, manage delusional beliefs, and develop effective coping strategies.
We help clients and their families understand psychotic depression — including its causes, treatment options, and recovery pathways — empowering them with accurate knowledge and realistic expectations.
Our therapists provide a safe, confidential space to process emotions, reduce anxiety, and build practical tools for daily living. Each treatment plan is tailored to the individual and delivered through a secure, user-friendly online platform designed to support comfort, privacy, and progress.
People with psychotic depression may be unaware of their condition or reluctant to seek help. It is often up to friends, relatives, or carers to encourage them to get the support they need. If you think someone is at risk of harm, contact a healthcare professional immediately.
Take control of your psychotic depression with the support of Talking Therapies UK. Our compassionate and skilled therapists are here to help you navigate the challenges of psychotic depression and live a more fulfilling life. Contact us today to learn more about how we can support you in achieving better mental health and wellbeing.
Schedule your online therapy session with one of our experienced therapists at a time that suits you. Flexible evening and weekend appointments are available to accommodate your busy lifestyle.
This page is for informational purposes only and should not replace professional medical or psychological advice. If you are in crisis or feel unsafe, please contact your GP, call NHS 111, or reach Samaritans on 116 123.
