Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

192 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Diagnosed with 296.34 MDD recurrent severe with psychotic features. What does this mean?

Answered by
Dr. Jonas Sundarakumar


Practicing since :2003

Answered : 2190 Questions

Posted on Fri, 28 Dec 2012 in Depression
Question: i've been diagnosed with 296.34 MDD recurrent severe with psychotic features. i was prescribed 1 and half mg of risperdal at night and 20mg of celexa a day.

what does this mean in plain english?

on average how long do i have to take these meds?

are people diagnosed w/ this allowed to carry guns? (i ask b/c I was going to apply to be a police officer)

Answered by Dr. Jonas Sundarakumar 3 hours later
Hello and welcome to Healthcare Magic. Thanks for your query.

I shall answer your questions in detail...

1) In simple terms, you have been diagnosed to have a very severe depression. MDD stands for Major Depressive Disorder.

MDD is further categorized, based on the severity, into: mild, moderate and severe. The severe type is further sub-categorized into:
- severe depression with "psychotic features"
- severe depression without "psychotic features"

Now, having "psychotic features" in severe depression, means that the depression is very severe and serious). What this means in plain English is that, sometimes, when people have a severe depression, they can also start having abnormal or false beliefs - called delusions (for example, that their body is rotting or that their XXXXXXX organs are missing or that people are trying to harm them, etc. ) or may they may start to hear voices - called hallucinations.

In terms of treatment, individuals with "severe depression with psychotic features", need not only anti-depressant medication, but also anti-psychotic medication. The medication which you have been put on seems to be corelating and appropriate for your diagnosis. That is, Celexa (Citalopram) is an anti-depressant medication and Risperidal (Risperidone) is an anti-psychotic medication. One more point in your diagnosis is that you seem to be having "recurrent" episodes of depression, which obviously implies that you have had depressive episodes in the past also.

2) The duration of treatment varies from individual to individual, depends upon various factors like the severity of the depression, the number and severity of past episodes, the past response to medication (i.e whether you have had any depressive episodes while taking treatment), the patient's level of social functioning and level of social support available, and of course, the patient's choices as well.

In your case, your depression is severe (with psychotic features also) and you seem to have had recurrent episodes in the past also. In such a case, a minimum of 2 years of continuous treatment would be the protocol. You may need the anti-psychotic medication, Risperidal, only for a short duration (i.e. till the psychotic symptoms subside), but you need to be on an anti-depressant for at least 2 years.

3) Regarding carrying guns, anyone who has "active" symptoms of depression or psychosis, will not be allowed to carry guns (epecially because having "psychotic symptoms" means that your thinking process has become clouded or could be compromised due to the delusions or hallucinations). However, if you have completely recovered from your depression, and on subsequent psychological assessments, are found to be completely free of depressive and psychotic symptoms, and your risk of developing a subsequent episode is minimal, then this should not be a hindrance to holding a police officer job.

I hope this has been informative and useful to you.

Wish you all the best.

- Dr. Jonas Sundarakumar
Consultant Psychiatrist
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  
Drug/Medication ,   ,   ,   ,   ,  

Recent questions on  Mood disorder

doctor1 MD

I had the implant around 5/6 months ago and have since experienced loss of appetite, periods that last almost the whole month, depression, dizzy spells, increased aggression and i am also finding hard to sleep is there a link? and do you have any advice as i cannot get in to see my gp right away.

doctor1 MD

I think I have a UTI, I have been sexually active for 4 months now and never had any problems until now. I am not sure if it is a UTI. I m 19 5 1 and 116 lbs. I have bipolar disorder and adult ADD.I don t know if there is anything I can do because the symptoms seem to get worse and worse

doctor1 MD

Female aged 18 heigh 5,5 weight 70 medical history depression on Prozac, had appendix out About 3 years ago, suffers from migranes. Problem .. Feel like I have something stuck in my chest and throat, quite uncomfortable, have tried throwing up but can t clear it.

doctor1 MD

Hello Dr. I am a 33 year old woman who is experiencing HORRIBLE mood swings, I have been taking b yaz birth control for almost 2 mos, the 1st mo was ok but now I don t think its helping at all. what birth control pills do you suggest for mood swings and heavy periods?

doctor1 MD

My Husband has nausea, vomiting, abdominal cramping and diarrhea started last night. He is diabetic and is also on clozapine for a mood disorder . What can I give him to help reduce the symptoms?

doctor1 MD

hi can u pls call me at 408 409 0256 i am taking marijuana 0.5 g and respiridone 1mg i have also taken etizolam and aripiprazole in the past month . i am very concerned as to what the side effects will be i have not had bad side effects in the...

doctor1 MD

i have smoked marijuana and i have taken 1mg Risperidone . what will be the side effects ? if i do this for one week what will happen to my mental health ?