[tesq]

Why mention the "psychoticlike" effects? Don't sleep or alcohol do the same?

Psychotic effects can have lasting mental damage to those susceptible to mental illness, just as heightened blood pressure and heart rate might be a problem for someone susceptible to cardiovascular disease.

Being treated for severe depression means you are susceptible to mental illness, and the chances that you're getting adequate exercise or eating food that isn't killing you are incredibly slim. You're also probably on medications that make you tired, hungry and alter your metabolism in mysterious ways.

These are the considerations you and your doctor have to take into account when devising a treatment plan. The full disclosure of side effects will help.