Major depression can present with atypical symptomatology and as a consequence, delay can occur in passing through the relevant algorithm for biological treatment. The case of a 62-year old female is presented who eventually was diagnosed with a major depressive episode, with psychotic features. The atypical presentation led to persistent diagnostic uncertainty both during outpatient treatment in several mental health care institutions and during inpatient observation. As a consequence, proceeding to the next step of the algorithm for biological treatment for major depression was delayed. Factors involved in this diagnostic uncertainty are discussed.

atypical, elderly, major depressive disorder,
Tijdschrift voor Gerontologie en Geriatrie
Erasmus MC: University Medical Center Rotterdam

van Gool, A.R, Meijer, M. (Maarten), & Birkenhäger, T.K. (2018). Atypical presentation of depression leading to delay in treatment Atypische presentatie van depressie leidend tot vertraging in de behandeling. Tijdschrift voor Gerontologie en Geriatrie, 49(5), 206–209. doi:10.1007/s12439-018-0263-7