Pseudo-melancholia

Australasian Psychiatry : Bulletin of Royal Australian and New Zealand College of Psychiatrists
G Parker

Abstract

An incorrect false positive diagnosis of melancholia can lead to inappropriate treatment and illness prolongation. This paper therefore seeks to introduce the concept of 'pseudo-melancholia' to capture such instances and provide clinical examples of contributing at-risk scenarios. The author draws on clinical experience to provide exemplars of circumstances most risking a false positive diagnosis of melancholia. Pseudo-melancholia can result from invalid measures of melancholia and from several functional and organic conditions presenting with suggested melancholic features. Recognising high-risk pseudo-melancholia scenarios has the potential to advance a change in diagnostic formulation, provide a more diagnosis-specific intervention and so avert a secondary diagnosis of 'treatment resistant depression'.

References

Sep 1, 1988·The British Journal of Psychiatry : the Journal of Mental Science·G E Berrios
Jan 1, 1961·Acta Psychiatrica Scandinavica·L G Kiloh
Aug 8, 2012·Journal of Affective Disorders·Gordon ParkerAnne-Marie Rees
Aug 22, 2017·Vaccine· World Health Organization
Mar 21, 2018·Vaccine· World Health Organization

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Citations

Sep 10, 2020·Journal of Psychopharmacology·Juan UndurragaRoss J Baldessarini

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