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.

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Tijdschrift voor Gerontologie en Geriatrie
Erasmus MC: University Medical Center Rotterdam

van Gool, A., Meijer, M. (Maarten), & Birkenhäger, T. (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