Presentation
Abstract We present a first comprehensive description of the clinical features of patients with organic delusional syndrome. [ncbi.nlm.nih.gov]
Delusions, if present, are related to the hallucinations. In Organic Affective Syndrome, symptoms resembling those of the Affective Disorders predominate. Delusions and hallucinations, if present, have a content related to the mood disturbance. [dsm.wikia.com]
The present volume has come about through an awareness of the absence of any cohesive and substantive source on the treatment of cognitive dysfunction following brain insult. [books.google.com]
A report an unusual presentation of long standing psychotic symptoms without anaemia in a 31 year old male, who presented to a tertiary care psychiatric facility. [japi.org]
Entire Body System
- Nightmare
F50.9 Eating disorder, unspecified F51 Nonorganic sleep disorders F51.0 Nonorganic insomnia F51.1 Nonorganic hypersomnia F51.2 Nonorganic disorder of the sleep-wake schedule F51.3 Sleepwalking [somnambulism] F51.4 Sleep terrors [night terrors] F51.5 Nightmares [rxpgonline.com]
[…] eating disorders F50.9 Eating disorder, unspecified (Back to top) F51.0 Nonorganic insomnia F51.1 Nonorganic hypersomnia F51.2 Nonorganic disorder of the sleep-wake schedule F51.3 Sleepwalking [somnambulism] F51.4 Sleep terrors [night terrors] F51.5 Nightmares [naswma.org]
F50.9 Eating disorder, unspecified F51 Non-organic sleep disorders F51.0 Non-organic insomnia F51.1 Non-organic hypersomnia F51.2 Non-organic disorder of the sleep-wake schedule F51.3 Sleepwalking (somnambulism) F51.4 Sleep terrors (night terrors) F51.5 Nightmares [priory.com]
[…] disruption of 24-hour sleep-wake cycle Irregular sleep-wake rhythm, nonorganic origin Jet lag syndrome Rapid time-zone change Shifting sleep-work schedule 307.46 Somnambulism or night terrors 307.47 Other dysfunctions of sleep stages or arousal from sleep Nightmares [assessmentpsychology.com]
- Camping
Since the Ser311Cys mutation has been shown to cause functional alteration of DRD2 in vitro, such as receptor internalization ( Itokawa et al. 1996 ) and inhibition of cAMP synthesis ( Cravchik et al. 1996 ), dopamine signal transmission may be increased [nature.com]
[…] predominantly sociopathic or asocial manifestations (301.7) 309.4 With mixed disturbance of emotions and conduct 309.8 Other specified adjustment reactions 309.81 Prolonged posttraumatic stress disorder Chronic posttraumatic stress disorder Concentration camp [assessmentpsychology.com]
Within the bottom-up camp, further divisions apply. For some, it is correct to say that the delusional belief explains the experience. Others claim that the delusion is an endorsement of the experience. [plato.stanford.edu]
- Fever
Organic brain diseases result from structural pathology, as in senile dementia, or from disturbed eNS function, as in fever-induced delirium. [medassignments.com]
Gastrointestinal
- Loss of Appetite
[…] of nonorganic origin 307.53 Psychogenic rumination Regurgitation, of nonorganic origin, of food with reswallowing Excludes: obsessional rumination (300.3) 307.54 Psychogenic vomiting 307.59 Other Infantile feeding disturbances of nonorganic origin Loss [assessmentpsychology.com]
- Muscle Rigidity
Hyperthermia, muscle rigidity, tachycardia, acidosis, shock, coma, rhabdomyolysis. Treatment includes IV dantrolene 1 to 10 mg/kg IV titrated to effect, management of acidosis and shock, peripheral cooling (see management of heat stroke below). [psychnet-uk.com]
Cardiovascular
- Tachycardia
Hyperthermia, muscle rigidity, tachycardia, acidosis, shock, coma, rhabdomyolysis. Treatment includes IV dantrolene 1 to 10 mg/kg IV titrated to effect, management of acidosis and shock, peripheral cooling (see management of heat stroke below). [psychnet-uk.com]
However, it may give rise to a host of side-effects such as drowsiness, sedation, excessive salivation, tachycardia, dizziness, seizures and agranulocytosis. Oral novel antipsychotics are preferred for treatment of long-term symptoms. [primehealthchannel.com]
[…] hunger cough hiccough hyperventilation yawning Excludes: psychogenic asthma (316 and 493.9) 306.2 Cardiovascular Cardiac neurosis Cardiovascular neurosis Neurocirculatory asthenia Psychogenic cardiovascular disorder Excludes: psychogenic paroxysmal tachycardia [assessmentpsychology.com]
Skin
- Pruritus
One theory suggests that the condition is secondary to an amplification of common, troubling symptoms, eg, pruritus triggered by a patient’s newfound awareness of a known disease. 13 A minority of people may experience amplified symptoms (unclear cause [dovepress.com]
Excludes: psychogenic asthma (316 and 493.9) 306.2 Cardiovascular Cardiac neurosis Cardiovascular neurosis Neurocirculatory asthenia Psychogenic cardiovascular disorder Excludes: psychogenic paroxysmal tachycardia (316 and 427.2) 306.3 Skin Psychogenic pruritus [assessmentpsychology.com]
[…] classified as a subtype of monosymptomatic hypochondriacal psychosis. [74] This is best-characterized as a primary delusion though it is sometimes described as an elaboration of a primary pathological experience such as tactile hallucination, paresthesia or pruritus [jgmh.org]
Psychiatrical
- Suicidal Ideation
Assessment of homicidal or suicidal ideation is extremely important in evaluating patients with delusional disorder. [emedicine.medscape.com]
He was distressed by the sexual problems that he perceived he had, but denied suicidal ideation. He had a fixed belief that he attained penile erection whenever in an erect posture. This belief persisted despite evidence to the contrary. [ijpm.info]
Five patients (31%) had very brief periods with serious affective symptoms, including intense suicidal ideations, lasting less than one hour. Their affective symptoms were agitation with panic attacks, aggression towards others and suicide attempts. [bmcpsychiatry.biomedcentral.com]
In this study, younger age, psychomotor retardation, guilt, feelings of worthlessness, a history of delusions in the past, and increased suicidal ideation and intent were found more commonly in psychotic than in nonpsychotic patients, and these associations [jgmh.org]
- Denial
No good current unifying theory Psychodynamic Theories : use of the defense mechanisms of reaction formation, denial, projection: e.g. paranoia Treatment: Hospitalize if patient is a danger to self or others, need a rapid diagnostic work-up. [psychnet-uk.com]
[…] obsessive-compulsive disorder patients often have insight into their obsessions and compulsions paranoid personality disorder difficult to differentiate between extreme characterological suspiciousness and frank delusions Treatment Difficult to treat due to patient denial [medbullets.com]
Signs of denial of love by the delusionally desired love object are frequently paradoxically, falsely interpreted as affirmation of love. [11, 10] Patients may attempt to contact the object of the erotomanic delusion by initiating email and other elcectronic [emedicine.medscape.com]
An example is offered by Ramachandran, who discusses anosognosia, the denial of illness, and somatoparaphrenia, the delusion that a part of one’s body belongs to someone else. [plato.stanford.edu]
- Anger
Jealousy may evoke anger and empower the jealous individual with a sense of righteousness to justify acts of aggression towards the spouse/partner and/or the imagined paramour. [emedicine.medscape.com]
Emotional Symptoms of Neurological Problems The emotional symptoms of neurological problems such as organic psychosis are usually regarded as a combination of disturbed emotions caused by the illness itself, such as uncontrollable anger or paranoia, and [psychguides.com]
Patients may adopt a lifestyle that fits in with the delusion, displaying extravagance, marked arrogance, extreme religiosity, etc.Occasionally, a deluded grandiose patient reacts to stress with anger and antisocial behaviour. [hkcfp.org.hk]
[…] manifestations (301.7) sexual deviations (302.0-302.9) The following fifth-digit subclassification is for use with categories 312.0-312.2: 0 unspecified 1 mild 2 moderate 3 severe 312.0 Undersocialized conduct disorder, aggressive type Aggressive outburst Anger [assessmentpsychology.com]
- Psychiatric Manifestation
Psychiatric symptoms seldom precede anaemia and present as the principal manifestation of B12 deficiency. [japi.org]
Neurologic
- Tic Disorder
Disinhibited attachment disorder of childhood F94.8 Other childhood disorders of social functioning F94.9 Childhood disorder of social functioning, unspecified F95 Tic disorders F95.0 Transient tic disorder F95.1 Chronic motor or vocal tic disorder F95.2 [rxpgonline.com]
[…] motor or vocal tic disorder F95.2 Combined vocal and multiple motor tic disorder [de la Tourette's syndrome] F95.8 Other tic disorders F95.9 Tic disorder, unspecified (Back to top) F98.0 Nonorganic enuresis F98.1 Nonorganic encopresis F98.2 Feeding disorder [naswma.org]
Disinhibited attachment disorder of childhood F94.8 Other childhood disorders of social functioning F94.9 Childhood disorder of social functioning, unspecified F95 Tic disorders F95.0 Transient tic disorders F95.1 Chronic motor or vocal tic disorder [priory.com]
[…] organic origin (333.3) 307.20 Tic disorder, unspecified 307.21 Transient tic disorder of childhood 307.22 Chronic motor tic disorder 307.23 Gilles de la Tourette's disorder Motor-verbal tic disorder 307.3 Stereotyped repetitive movements Body-rocking [assessmentpsychology.com]
- Babinski Sign
One AUDS patient had ophtalmoplegia and bilaterally inverted plantar reflexes (positive Babinski's sign), whereas another had inverted plantar reflexes as the only sign of pathology. The third patient had bilateral horizontal nystagmus. [bmcpsychiatry.biomedcentral.com]
Treatment
Thus, we decided that a handbook focusing on the outpatient treatment of mental disorders would be both timely and useful. [books.google.com]
Recognition of the underlying disorder frequently aids in successful treatment. [ncbi.nlm.nih.gov]
[…] delusions too early in the treatment process (Silva et al., 2003). [theravive.com]
Prognosis
FAVOREVOLE CON MODESTA COMPROMISSIONE FUNZIONALE 9323 NEOPLASIE A PROGNOSI FAVOREVOLE CON GRAVE COMPROMISSIONE FUNZIONALE 9324 SINDROME DI TURNER 9325 NEOPLASIE A PROGNOSI INFAUSTA O PROBABILMENTE SFAVOREVOLE NONOSTANTE ASPORTAZIONE CHIRURGICA 9326 SCLERODERMIA [studioaquilani.it]
Epidemiology Etiology Clinical Features Differential Diagnosis Course and Prognosis Treatment 3. Epidemiology Studies suggest that between 2 and 8 percent of the elderly population experience some type of paranoid symptoms. [slideshare.net]
PATOLOGIA NEOPLASTICA Back 9322 NEOPLASIE A PROGNOSI FAVOREVOLE CON MODESTA COMPROMISSIONE FUNZIONALE 0 0 11 9323 NEOPLASIE A PROGNOSI FAVOREVOLE CON GRAVE COMPROMISSIONE FUNZIONALE 0 0 70 9325 NEOPLASIE A PROGNOSI INFAUSTA O PROBABILMENTE SFAVOREVOLE [studiolegaleoldrini.it]
At discharge, the GAF score was significantly higher in delusional disorder, which suggests a better prognosis ( Table 1 ). [nature.com]
Ruling out secondary causes of psychosis is important because the causation of psychosis by a medical disorder or substance can dramatically change management and prognosis. [jgmh.org]
Etiology
Still the only major text on the subject, the completely revised and updated second edition of Parkinson's Disease: Diagnosis and Clinical Management comes at a time when specialists have made important advances in our understanding of the etiology, pathogenesis [books.google.de]
There is evidence, from the history, physical examination, or laboratory tests, of a specific organic factor that is judged to be etiologically related to the disturbance. [dsm.wikia.com]
Etiology • Biological theories • Psychological theories • Psychosocial theories 5. BIOLOGICAL THEORIES 1. Pathology: Cummings et al, Involvement of limbic system. Lo et al, significant neurological problems. 2. [slideshare.net]
Main Although the neurobiological mechanism underlying schizophrenia has been investigated extensively during the past few decades, its biochemical and molecular etiology remain unclear. [nature.com]
[…] depressive episodes have occurred, these have been brief relative to the duration of the delusional periods. the disturbance is not better explained by another mental disorder ( i.e., OCD) or organic disorder ( i.e., ingestion) Differential Organic etiologies [medbullets.com]
Epidemiology
Epidemiology Etiology Clinical Features Differential Diagnosis Course and Prognosis Treatment 3. Epidemiology Studies suggest that between 2 and 8 percent of the elderly population experience some type of paranoid symptoms. [slideshare.net]
[…] that the individual has exceptional abilities, wealth, or fame nihilistic - conviction that a major catastrophe will occur somatic - beliefs focused on bodily function or sensation erotomanic - false belief that another individual is in love with them Epidemiology [medbullets.com]
Epidemiology of persecutory ideation in an elderly population in the community. Am J Psychiatry 1984;141:1088-91. 71. Forsell Y, Henderson AS. Epidemiology of paranoid symptoms in an elderly population. Br J Psychiatry 1998;172:429-32. 72. [jgmh.org]
"Delusional Disorder - Epidemiology - Patient demographics". Retrieved 2013-04-15. CS1 maint: Multiple names: authors list ( link ) CS1 maint: Extra text: authors list ( link ) ^ Stephan Heckers, Deanna M. [en.wikipedia.org]
Epidemiology Delusional disorder is infrequent in psychiatric practice, possibly because many patients are able to function tolerably well despite their delusions, and perhaps also because those who believe implicitly in their delusions may not feel the [theravive.com]
Prevention
Ultimately, neuropsychiatry aims to prevent and reduce the suffering of individuals with the psychiatric symptoms of cerebral disorders. [books.google.com]
If you or someone you know is considering suicide, get help from a crisis or suicide prevention hotline. Try the National Suicide Prevention Lifeline at 800-273-8255. [healthline.com]
Can Delusional Disorder Be Prevented? There’s no known way to prevent delusional disorder. But early diagnosis and treatment can help lessen the disruption to the person's life, family, and friendships. [webmd.com]
Around 50% of people need to take long-term medication to prevent symptoms recurring. If a person's psychotic episodes are severe, they may need to be admitted to a psychiatric hospital for treatment. Read about treating psychosis. [nhs.uk]
Your Organic Mental Disorder Disability Case If you are disabled because of an Organic Mental Disorder so severe that it prevents employment, you may be entitled to Social Security Disability (SSDI) benefits. [disability-benefits-help.org]