Can depression become so severe that it leads to psychosis?

　　In real life, many patients develop depression due to various factors, posing a significant threat to both physical and mental health and substantially diminishing quality of life. So, can severe depression lead to psychosis (“going mad”)?

Can severe depression lead to psychosis?

　　Depression is a common psychiatric disorder encountered in clinical practice. Due to its high prevalence, recurrence rate, and disability burden, it has drawn widespread societal attention. In severe cases, depression may trigger psychotic symptoms—such as delusions and hallucinations—that resemble those seen in schizophrenia and are commonly described in lay terms as “going mad.” In Traditional Chinese Medicine (TCM), depression is referred to as “Yù Zhèng” (Depressive Syndrome). Therefore, once diagnosed with depression, patients require prompt treatment to prevent progression to adverse outcomes.

　　Once a patient develops depression, it inflicts substantial harm and disruption. Some individuals experience disease progression that increases vulnerability to psychotic episodes; thus, early intervention is strongly recommended. Following the onset of depression, patients endure profound suffering. Ordinary daily events may appear distorted or abnormal through the lens of depression, perpetuating a state of psychological torment. Depressed individuals perceive the world through a “colored lens,” leading to heightened subjectivity and perceptual distortion.

　　Patients are advised to maintain a positive mindset, avoid consuming overly stimulating foods, and engage in moderate physical activity to help alleviate emotional distress. We hope this information proves helpful to you.