What Could Cause Psychotic Depression?

Checklist for early detection of psychosis *

A psychosis is a severe mental disorder in which the sick person loses touch with reality. The most common form of disposition-related (endogenous) psychosis is schizophrenia. Even if the person suffering from schizophrenia has survived the psychosis well and has been treated with medication, there is a certain risk of relapse.

A relapse (relapse) is almost always announced Warning signals (Early symptoms) that occur a few days, weeks or months before.

Depression, loss of appetite, social withdrawal: a checklist can help identify a mental disorder at an early stage.

The following checklist is intended to help you identify possible indications of an increased risk of psychosis at an early stage. Tick ​​the statements that you have noticed in the past few months or that have made you feel harassed or disturbed. If you have already been diagnosed with psychosis, you should use the checklist every three months fill in to identify changes in good time.

* Adapted from the ERI checklist (Early Recognition Inventory) from Häfner H., Bechdolf A., Klosterkötter J., Maurer K .: Psychoses - early detection and early intervention: the practical guide. Schattauer, 2011.

Checklist for download

1.I have become more silent and prefer to withdraw than do something with others.
2.My mood was rather depressed for weeks (depressed, sad, dejected, desperate).
3.I sleep worse than usual (difficulty falling asleep, staying asleep, or waking up earlier than usual).
4.My sexual interest has waned.
5.I eat a lot more or a lot less than normal.
6.My movements, my thinking and speaking have become noticeably slower.
7.My stamina and motivation in school, training or work and in leisure activities have clearly decreased.
8.I have to think about certain things all the time (such as violence, sexual issues, or physical changes).
9.I have difficulty establishing and maintaining contact with other people as well as I used to. I feel more insecure, more tense, more self-conscious than before.
10.Others sometimes find my interests or behavior strange (for example, collecting worthless items, hoarding food, talking to myself in public).
11.More often than before I have the impression that others are trying to cheat, take advantage of or cheat me.
12.I am often nervous, restless, or tense. As a result, I sometimes get into arguments or discussions with relatives, friends or other people about little things.
13.My familiar surroundings sometimes seem unreal or strange to me (for example particularly impressive or threatening). Sometimes I have the feeling that I am not myself, but unreal or a stranger to myself, for example when I look in the mirror.
14.I deal with unusual, mysterious or supernatural things or topics (for example religious or esoteric topics).
15.Something seems to be wrong with my thinking (thought processes are suddenly interrupted or disturbed by other thoughts; thoughts are pulled out of my head; own thoughts radiate; other people can read my thoughts; thoughts are brought into my head that are not my own are).
16.I perceive noises or colors in my environment to be unusually intense or clear. Sometimes things or people appear to me externally, for example changed in their shape or size.
17.I sometimes see, hear, taste or smell things that others do not notice.
18.At times I feel particularly observed, persecuted or threatened by something. Someone is trying to harm me on purpose.
19.I increasingly have the impression that certain occurrences in everyday life (for example, tips and messages from my environment) have to do with me personally or are only intended for me.

Have you only observed behavior in yourself that is below 1 to 7 has been described, this is not yet an indication of an increased risk of psychosis. However, there may be another mental disorder, such as depression. In order to clarify this, we strongly recommend that you consult a doctor or psychotherapist.

Have at least one of the symptoms 8 to 12 observed in oneself, this can already be an indication of an increased risk of psychosis. Be sure to visit a doctor, psychiatrist, or early detection center so that a diagnosis can be made and early treatment decided.

The symptoms 13 to 19 are signs of the onset of psychosis. You should see a doctor, psychiatrist, or early detection center immediately so that a diagnosis can be made and, if necessary, early treatment initiated.

The contact details of the most important Early detection and treatment centers in Germany can be found here.

Please note: This evaluation only gives you a clue and is not a substitute for a complete medical assessment. The early detection of a psychosis requires a precise, comprehensive diagnosis and can only be carried out by a doctor, psychiatrist or psychotherapist in a personal conversation.