Which of the following adverse effects is commonly seen in those using anabolic steroids related to mental health?

Using anabolic steroids can significantly impact mental health, and psychotic depression is one of the serious adverse effects that can occur. Anabolic steroids can alter mood and behavior, leading to symptoms such as irritability, aggression, and, in some cases, severe depression or manic episodes. Psychotic depression specifically can manifest as a combination of symptoms associated with both major depressive disorder and psychosis; this might include hallucinations or delusions alongside feelings of sadness or emptiness, highlighting the profound impact that these substances can have on mental well-being.

In contrast, the other options do not align with the known side effects associated with anabolic steroid use. Calmness, increased empathy, and emotional stability are generally not consistent with the mood alterations linked to anabolic steroids, which often lead to increased aggression and volatile emotional states instead. Understanding these adverse effects is crucial for recognizing the risks associated with anabolic steroid usage, particularly concerning mental health.