Proceedings of the 8th International Conference on Neuroscience, Neurology, and Psychiatry 2025 (ICONAP 2025)

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Psychotic Major Depression (PMD) with Schizotypal Personality Disorder (STPD)

Authors
Johanes Irpan1, Elmeida Effendy1, *
1Department of Psychiatry, Faculty of Medicine, Universitas Sumatera Utara, 20155, Medan, Sumatera Utara, Indonesia
*Corresponding author. Email: Elmedia.effendi@usu.ac.id
Corresponding Author
Elmeida Effendy
Available Online 25 December 2025.
DOI
10.2991/978-94-6463-966-7_9How to use a DOI?
Keywords
Major Depressive Disorder (MDD); Psychotic Major Depression; Schizotypal Personality Disorder; Online Relationship
Abstract

Psychotic major depression (PMD) is a severe form of major depressive disorder (MDD), characterized by depressive symptoms accompanied by hallucinations and/or delusions. Schizotypal personality disorder (STPD) is a personality disorder marked by social and interpersonal deficits as well as cognitive-perceptual distortions, and it is frequently comorbid with mood disorders, thereby increasing vulnerability to depressive episodes. This case report describes a 36-year-old woman who experienced severe depressive symptoms accompanied by mood-congruent auditory and visual hallucinations, suicidal ideation, social withdrawal, and impaired daily functioning. The patient also exhibited characteristic features of STPD that had been present since adolescence, including magical thinking, social isolation, unusual perceptual experiences, and eccentric behavior. A breakup with her partner in an online romantic relationship served as the primary trigger for the depressive episode. Initial management consisted of risperidone administration and inpatient care to control psychotic symptoms and prevent suicide risk.

Copyright
© 2025 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

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Volume Title
Proceedings of the 8th International Conference on Neuroscience, Neurology, and Psychiatry 2025 (ICONAP 2025)
Series
Advances in Health Sciences Research
Publication Date
25 December 2025
ISBN
978-94-6463-966-7
ISSN
2468-5739
DOI
10.2991/978-94-6463-966-7_9How to use a DOI?
Copyright
© 2025 The Author(s)
Open Access
Open Access This chapter is licensed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/), which permits any noncommercial use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license and indicate if changes were made.

Cite this article

risenwbib
TY  - CONF
AU  - Johanes Irpan
AU  - Elmeida Effendy
PY  - 2025
DA  - 2025/12/25
TI  - Psychotic Major Depression (PMD) with Schizotypal Personality Disorder (STPD)
BT  - Proceedings of the 8th International Conference on Neuroscience, Neurology, and Psychiatry 2025 (ICONAP 2025)
PB  - Atlantis Press
SP  - 53
EP  - 58
SN  - 2468-5739
UR  - https://doi.org/10.2991/978-94-6463-966-7_9
DO  - 10.2991/978-94-6463-966-7_9
ID  - Irpan2025
ER  -