I think with me my old pdoc said that the difference for me was when I was having psychotic symptoms while not at the same time being depressed, that was what distinguished depression with psychotic features from SZA.

It's all very complicated to me, and I try not to engage in debates with my psychiatrist about diagnosis, which I've been successful at not doing, but sometimes it's scary and complicated for me.

Recently at the hospital they diagnosed me as having Psychosis Not otherwise specified. So, I'm kind of lost.