psychoscum:

I don’t want to eat
I feel disgusting
I can’t throw up
I’m crying
I hate myself 

ithil-elf:

“Psychotic depression is a subtype of major depression occurs when a severe depressive illness includes some form of psychosis. The psychosis could be hallucinations (such as hearing a voice telling you that you are no good or worthless), delusions (such as, intense feelings of worthlessness, failure, or having committed a sin) or some other break with reality.”