Does anyone think they have experienced delusions with their depression or have any experience with psychotic depression? It seems like a fine line and difficult to tell. I was ruminating on past things I felt a lot of guilt about and decided I was nearly evil and a monster which increased my SI for awhile. I was somewhat aware it was extreme, but it also felt very real. Not sure if this is just extreme guilt/distorted perception or a delusion. I have never had this with depression before, but I really felt like I deserved bad things to happen to me because I was intrinsically bad and needed to pay for my sins so to speak. Evidence to the contrary just wasn't enough to shake this. Also felt like I have been a little less trusting of others, but not totally paranoid. This has been quite scary as I feel like I am sort of losing touch with reality.