In delusional disorder, the patient suffers from 1 or more delusions for a duration of 1 month or more, without any other psychotic symptoms Psychotic symptoms Brief Psychotic Disorder or behavioral changes and no decline in functioning abilities. Diagnosis is clinical and the 1st-line treatment is antipsychotic Antipsychotic Antipsychotics, also called neuroleptics, are used to treat psychotic disorders and alleviate agitation, mania, and aggression. Antipsychotics are notable for their use in treating schizophrenia and bipolar disorder and are divided into 1st-generation antipsychotics (FGAs) and atypical or 2nd-generation antipsychotics. First-Generation Antipsychotics medications provided within the context of a trusting therapeutic relationship Relationship A connection, association, or involvement between 2 or more parties. Clinician–Patient Relationship. Psychotherapy Psychotherapy Psychotherapy is interpersonal treatment based on the understanding of psychological principles and mechanisms of mental disease. The treatment approach is often individualized, depending on the psychiatric condition(s) or circumstance. Psychotherapy based on support and education may be helpful.
Last updated: 15 Jun, 2021
Delusional disorder is characterized by unshakable false beliefs held by an individual despite being presented with rational, logical arguments and evidence to support the contrary.
|Delusions of persecution||
||“My office colleagues are ganging up against me since I am better than them. They want to belittle me in front of my boss.”|
|Delusions of grandeur||The individual believes that they are very famous, rich, or talented.||“The US president is my family friend.”|
|Delusions of guilt||The individual believes that they are a bad person and have done something terribly wrong for which they deserve to be punished.||“It is my fault that my dad is ill.”|
|Delusions of reference||The individual misrepresents harmless, non-suspicious events or mere coincidences as being strongly applicable to them.||“The news on TV is referencing me!”|
||“My nose Nose The nose is the human body’s primary organ of smell and functions as part of the upper respiratory system. The nose may be best known for inhaling oxygen and exhaling carbon dioxide, but it also contributes to other important functions, such as tasting. The anatomy of the nose can be divided into the external nose and the nasal cavity. Nose and Nasal Cavity: Anatomy is too big. My teeth Teeth Normally, an adult has 32 teeth: 16 maxillary and 16 mandibular. These teeth are divided into 4 quadrants with 8 teeth each. Each quadrant consists of 2 incisors (dentes incisivi), 1 canine (dens caninus), 2 premolars (dentes premolares), and 3 molars (dentes molares). Teeth are composed of enamel, dentin, and dental cement. Teeth: Anatomy are misshapen.”|
|Delusions of jealousy||The individual believes that their spouse is being unfaithful based on inconspicuous bits of information.||“I know my wife is having an affair with my best friend because I noticed that her clothes were wrinkled.”|
||“I am the next messiah!”|
|Erotomania or delusions of love||The individual believes that someone is in love with them.||“I am positively certain that Angelina Jolie loves me.”|
|Nihilistic delusions||The individual believes that their body, or part of it, does not exist or that they are dead.||“I am dead. I don’t have any lungs Lungs Lungs are the main organs of the respiratory system. Lungs are paired viscera located in the thoracic cavity and are composed of spongy tissue. The primary function of the lungs is to oxygenate blood and eliminate CO2. Lungs: Anatomy.”|
|Delusional memory Memory Complex mental function having four distinct phases: (1) memorizing or learning, (2) retention, (3) recall, and (4) recognition. Clinically, it is usually subdivided into immediate, recent, and remote memory. Psychiatric Assessment||The individual clearly remembers events that did not occur.||“On the evening of June 9, 2021, I was abducted from my home by aliens.”|
|Fantastic delusions||The individual has bizarre delusions that follow no logic or common sense.||“I’m slowly changing into a leopard.”|
The 1st-line pharmacologic treatment of delusional disorder is with 2nd-generation antipsychotic Antipsychotic Antipsychotics, also called neuroleptics, are used to treat psychotic disorders and alleviate agitation, mania, and aggression. Antipsychotics are notable for their use in treating schizophrenia and bipolar disorder and are divided into 1st-generation antipsychotics (FGAs) and atypical or 2nd-generation antipsychotics. First-Generation Antipsychotics medications.
Delusional disorder usually has a good prognosis Prognosis A prediction of the probable outcome of a disease based on a individual’s condition and the usual course of the disease as seen in similar situations. Non-Hodgkin Lymphomas, with 50% fully recovering and 20% showing significant remission Remission A spontaneous diminution or abatement of a disease over time, without formal treatment. Cluster Headaches.
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