Dr. Denae Rickenbacker (CedarParkPsych) is consolidating her practice with Cedar Park TMS beginning December 3, 2025. Learn more—>

When depression takes over your life, everyday things that used to come easily start to feel impossible. For some people, depression can reach a point where it causes them to lose touch with reality. You might hear or see things that others do not, or hold beliefs that are not true but feel very real to you. This type of depression can be especially frightening because it mixes deep sadness or hopelessness with confusion, fear, and sometimes shame.

The important thing to know is that this kind of depression is treatable. Psychotic depression treatment in Austin can help you or your loved one find relief and begin healing. With the right depression care, it is possible to ease the intense symptoms and return to a more stable, peaceful state of mind. 

Do You Have Psychotic Depression?

Psychotic depression is a serious form of major depression that includes symptoms of psychosis, such as hallucinations or delusional thinking. People experiencing it might see or hear things that are not there or believe things that have no basis in reality. For example, someone might believe they have done something terrible or that they are being watched or punished. These symptoms happen alongside the standard signs of depression, such as: 

If you have psychotic depression, you might find it difficult to recognize that what you are experiencing is not real. Sometimes it is a loved one who first notices something is wrong. They may notice that you are saying unusual things or that your behavior seems out of character. It is important to reach out for professional help as soon as possible because psychotic depression does not go away on its own. The earlier you begin treatment, the better your chances are for recovery.

When you come to our practice to be treated for psychotic depression in Austin, you will meet with professionals who understand what you are going through. We will talk with you about your symptoms, your history, and what treatments you may have already tried. From there, we can create a plan that fits your needs and gives you the best chance of getting better.

Your Treatment Options

Treatment for psychotic depression in Austin usually involves a combination of medication and therapy. The two main types of medication used are antidepressants and antipsychotics. Antidepressants help lift your mood and reduce the symptoms of depression, while antipsychotics target the hallucinations and delusions that come with psychosis. These medications can take time to work, but many people start to notice improvement within several weeks.

In some cases, if medication alone is not enough, other treatments such as electroconvulsive therapy (ECT) may be recommended. Despite its reputation, modern ECT is safe and effective. 

Therapy also plays an important role in helping you manage psychotic depression. Working with a therapist gives you a place to talk openly, learn coping skills, and build a stronger sense of self-awareness. 

Get Help for Depression With Psychosis in Austin Today

Living with psychotic depression can make you feel isolated and afraid, but you are not alone. Many people experience this condition and go on to live fulfilling lives once they receive the right care. Treatment helps stabilize your mood, clear your thoughts, and restore a sense of peace that might have felt lost. 

If you or someone you care about is showing signs of psychotic depression, our team is ready to help. Reach out to our office today to learn more about psychotic depression treatment in Austin. Together, we can find a plan that helps you begin the journey toward recovery.

Dr. Brian S. Earthman, MD image
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Cedar Park TMS
Brian S. Earthman, MD, is a psychiatrist and addiction medicine specialist focusing on adult mental health and substance abuse treatment. Dedicated to ensuring patients experience whole health after treatment, Dr. Earthman’s goal is to guide patients to wellness using a comprehensive treatment approach that includes TMS, medication, counseling, and Alpha-Stim™ therapy. He has been certified and trained by the Clinical TMS Society (CTMSS) since 2018. Dr. Earthman graduated from the University of Texas at Austin, receiving a bachelor’s degree in biology. He then attended Texas Tech School of Medicine, where he received his medical degree. Dr. Earthman completed his residency in the department of psychiatry at the University of Texas Health Science Center in San Antonio in 2005. He is also a diplomat of the American Board of Addiction Medicine.
Cedar Park TMS


11901 W Parmer Ln
#310 B

Cedar Park TX 78613