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A symptomatic complex in-which psychotic features, as they are defined today (i.e., delusions and hallucinations), emerge within an episode of depression. When psychotic features occur in a depressive episode of unipolar clinical (major) depression or bipolar disorder, the depression is typically severe and the psychotic features mood-congruent (i.e., depressive-themed), e.g., voices from the bottomless chasm of hell condemning the patient or urging them on to suicide, depressive delusions (e.g., of nihilism, poverty and/or well-deserved persecution, which, unlike the persecutory ideation of the paranoid schizophrene, is felt as deserved and a suitable punishment for their sins, rather than an unfair targeting by the CIA). In the context of schizoaffective disorder wherein depressive episodes occur, the psychosis is less inherently mood-congruent.
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