This may be related to feelings of worthlessness and guilt. An episode involves hallucinations and delusions, which may include persecutory delusions. In this type of depression, the above symptoms are accompanied by episodes of psychosis. Severe depression causes persistent and extreme sadness. Usually, it occurs in major depressive disorder with psychotic features, previously called psychotic depression. Persecutory delusions might also appear in depression. Major depressive disorder with psychotic features Possible symptoms include delusions, including persecutory delusions. In this type, a person has symptoms of schizophrenia and depression. This includes symptoms of schizophrenia plus manic and depressive episodes. Schizoaffective disorder involves symptoms of schizophrenia and a mood disorder. Typically, persecutory delusions appear during manic episodes. Symptoms of a depressive episode may include: Depending on the type of bipolar disorder, a person may experience episodes of depression and mania or hypomania. In this condition, a person experiences extreme emotional changes. Persecutory delusions may occur in bipolar disorder. It’s considered a positive symptom of schizophrenia, previously called paranoid schizophrenia. Specifically, the most common kind of delusions in schizophrenia are persecutory delusions. It often involves hallucinations and delusions. Schizophrenia is characterized by a distorted sense of reality. Persecutory delusions appear in various mental illnesses, including schizophrenia, schizoaffective disorder, and more. Persecutory delusions causes and risk factors A person’s paranoid feelings become fixed beliefs, even when they’re presented with opposing evidence. Persecutory delusions occur when paranoia becomes extreme. These feelings are very intense, making it difficult to trust people. In paranoia, a person feels overly doubtful and fearful of others. Though paranoia and persecutory delusions are related, they’re technically different thought processes. Difference between paranoid and persecutory delusions They might also use vague terms and seem agitated or suspicious. The person will say these things as if they’re facts. “Everyone believes that I want to hurt things.”.“The airplane above us is the government, and they want to kidnap me.”.“The mailman is spying on my house because he wants to hurt me.”. “People walking outside are putting thoughts inside my head.”.
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