Presentation
Somatic symptoms are not present or, if present, are only mild in intensity. [quizlet.com]
We present the case of a 51-year-old man with no previous psychiatric history who presented with perceived foul odors that he delusionally attributed to trimethylaminuria (TMAU). TMAU is a rare metabolic disorder associated with foul body odors. [journals.lww.com]
Why do patients present with somatic delusions? Review of literature suggests numerous reasons why people may present with somatic delusions. [omicsonline.org]
Home OSTMED-DR Anorexia nervosa presenting as a somatic delusional disorder responsive to pharmacotherapy To link to this object, paste this link in email, IM or document To embed this object, paste this HTML in website Small Medium Large Extra Large [cdm17018.contentdm.oclc.org]
We present here 3 case reports of delusional parasitosis, which responded well to pimozide. These patients were seen over a period of 3 years. Case 1: Mr. [jpgmonline.com]
Entire Body System
- Unconsciousness
Psychological distress felt in a physical form --Unconscious v. Conscious drives -Sometimes called hysteria -Spectrum of severity -Are they faking? Some Reasons That Patients ______. [quizlet.com]
Insight-oriented therapy It is an intensive form of talk therapy that may aid in discovering and processing the various types of unconscious and delusional thoughts as well as desires. [primehealthchannel.com]
[…] poor reality testing, Wish-fulfillment, Separation individuation concept, An attempt to recapture the lost love object, Emotional attachment, i.e. a strong emotional bond between mother and daughter, Sustainment and perpetuation of cultural beliefs, Unconscious [mjdrdypu.org]
In addition, somatic delusions may be a manifestation of factitious disorder whereby the patient has an unconscious desire to assume the “sick role.” [omicsonline.org]
Freud (16) suggested that delusional jealousy was the result of an unconscious homosexual wish externalized onto the heterosexual partner and the theme of ‘latent' homosexuality is again invoked, but with little supportive evidence. [enetmd.com]
- Multiple Somatic Complaints
[…] in criteria B are present PLUS there are multiple somatic complaints Specify IF: -________ - characterized by severe symptoms, marked impairment, and greater than 6 months duration Somatic Symptom Disorder: Diagnostic Criteria -- Specifiers, Predominant [quizlet.com]
- Asymptomatic
(state) Z78.0 ICD-10-CM Diagnosis Code Z78.0 Asymptomatic menopausal state 2016 2017 2018 2019 Billable/Specific Code Adult Dx (15-124 years) Female Dx POA Exempt Applicable To Menopausal state NOS Postmenopausal status NOS Type 2 Excludes symptomatic [icd10data.com]
Gastrointestinal
- Abdominal Pain
Over that time period she visited five different New York City hospitals requesting treatment for extremity pain/ myalgia, unspecified chest pain, Gastroesophgeal Reflux Disease (GERD)/dysphagia, and abdominal pain/gastritis. [omicsonline.org]
Her complains were persistent lower abdominal pain, itching in the genital area and a sensation of germs crawling under the skin of her lower abdominal and genital area for last 6 months. [ejpes.org]
Eyes
- Foreign Body Sensation
He woke up with a foreign body sensation in his right ear. He also saw many cockroaches moving around in the vicinity and believed that the foreign body sensation was due to the entry of a cockroach into his right ear. [jpgmonline.com]
Psychiatrical
- 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]
There could be an anger outburst, which is out of proportion to the situation. [nethealthbook.com]
[…] consequences that a person may experience: Disruption in social relationships Social isolation Tension with one’s spouse or significant other Poor work performance Loss of job Financial difficulties Onset or worsening of mental health symptoms Irritability Anger [southcoastbehavioral.com]
Jealousy may evoke anger and empower the jealous individual with a sense of righteousness to justify their acts of aggression. Both the intimate partner and the (perceived) lover may be the targets of aggression and violence. [jameslau88.com]
Family history was significant for mother with depression and father with anger problems. Review of systems was significant for rash, skin lesions, itching and bugs on skin, as well as larvae in the rectum. [primarypsychiatry.com]
- Social Isolation
The patient also experienced severe concurrent mood symptoms because of social isolation resulting from his delusion about his body odors. [journals.lww.com]
Although they may perform well occupationally and in areas distant from their delusions, they tend to be social isolates either by preference or as a result of their interpersonal inhospitality (i.e., spouses frequently abandon them). [psyweb.com]
Social isolation : Those that isolate themselves from society for extended periods of time are more likely to experience delusions. [mentalhealthdaily.com]
If delusional disorder is left untreated, the following are some potential negative consequences that a person may experience: Disruption in social relationships Social isolation Tension with one’s spouse or significant other Poor work performance Loss [southcoastbehavioral.com]
- Compulsive Disorder
Essential Papers on Obsessive-Compulsive Disorder represents the most significant thinkers and the various strands of thought on obsessive-compulsive disorder. [books.google.de]
The hypochondriasis in delusional disorder may superficially resemble that of somatoform disorder, psychotic depression, or obsessive-compulsive disorder, but careful examination will reveal very different underlying illnesses. [alpfmedical.info]
Differential Diagnosis Obsessive-compulsive and related disorders. [thriveworks.com]
[…] significant overlap with delusional disorder obsessive-compulsive disorder patients often have insight into their obsessions and compulsions paranoid personality disorder difficult to differentiate between extreme characterological suspiciousness and [medbullets.com]
The ability of individuals with Obsessive-Compulsive Disorder to recognize that the obsessions or compulsions are excessive or unreasonable occurs on a continuum. [health.am]
- Denial
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. [psyweb.com]
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]
Lack of insight into the condition and denial that a problem exists are common barriers to treatment for delusional disorder. [americanaddictioncenters.org]
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]
- Delusion of Grandeur
delusion of grandeur and delusion of persecution; its use is discouraged. delusion of persecution a delusion that one is being attacked, harassed, cheated, persecuted, or conspired against. [medical-dictionary.thefreedictionary.com]
Delusion of grandeur In this form of delusion, the person believes they are much greater or more influential than they really are. [news-medical.net]
Delusional Disorder: Grandiose Type This is when the person experiences delusions of grandeur. They believe that they are greater than they really are. [nobullying.com]
Delusions of grandeur : Those experiencing grandiose delusions believe that they are a deity, have special powers (e.g. they can fly), rare abilities, or hidden talents. [mentalhealthdaily.com]
These so-called "delusions of grandeur" involve wild exaggeration of one's own importance, wealth, power, or talents. persecution: People with delusions of persecution may falsely believe that they are being plotted against, spied on, lied about, or harassed [humanillnesses.com]
Neurologic
- Confusion
[…] is NOT distinct from delusional disorder Diagnosis Three steps in diagnosis: ensure that true pathology is present ( i.e., that the delusions are actually delusions) assess for the presence of common characteristics associated with delusions ( i.e., confusion [medbullets.com]
Psychiatric disorders can be especially frightening and confusing when they involve a loss of touch with reality. In clinical terms, this is known as psychosis. [promises.com]
Having a delusional disorder is not a form of schizophrenia, with which it is often confused. [wikihow.com]
However this should not be confused with gaslighting, where a person denies the truth, and causes the victim to think that they are being delusional. [en.wikipedia.org]
As noted, DSM-IV and ICD-10 refer to this by different names and there have been several confusing changes of official terminology in recent years. [enetmd.com]
Treatment
Factitious Disorder: Evaluation and Treatment [quizlet.com]
Several new chapters dealing with new concepts in biology and treatment of mental disorders have been added. [books.google.com]
While lurasidone has shown efficacy in the treatment of schizophrenia, no reports have been published on its use in the treatment of delusional disorder. [austinpublishinggroup.com]
Delusional Disorder Treatment Since Delusional Disorder is a very uncommon disorder, there is no specific treatment plan. [nobullying.com]
Prognosis
What is the Prognosis of Delusional Disorder? The outlook of this disorder will vary depending on how long the delusions have lasted. The refusal for treatment makes the prognosis even worse. [treatment4addiction.com]
Some evidence suggests that the Jealous Type may have a better prognosis than the Persecutory Type. When the Persecutory Type is associated with a precipitating event or stressor, it may have a better prognosis. [health.am]
Course and prognosis Typically the illness is long term with a tendency to worsen with time. [enetmd.com]
The prognosis for clients with delusional disorder is largely related to the level of conviction regarding the delusions and the openness the person has for allowing information that contradicts the delusion. [minddisorders.com]
Etiology
Clayton Springer Science & Business Media, ١٥/٠٥/٢٠٠٨ - 799 من الصفحات Psychiatry has emerged as a burgeoning scientific field with major advances in etiology and treatment of several disorders. [books.google.com]
Abstract Delusional disorders are one of the psychiatric disorders with unknown etiology. Various factors have been considered as risk factors (predisposing factors) for delusional disorders. [ncbi.nlm.nih.gov]
[…] 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]
Etiologic and taxonomic considerations: II. A possible relationship between delusional and affective disorders. Can J Pyschiatry 1988;33: 175–178. Google Scholar 20. Muncie W. Psychobiology in Psychiatry. St. Louis, CV Mosby, 1939. [link.springer.com]
Epidemiology
Further epidemiologic studies of eating disorders with coexisting psychotic disorders are suggested. Classification of eating disorders to include a subset with psychotic or obsessional features (or both) may prove useful in future diagnoses. [ncbi.nlm.nih.gov]
[…] 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]
The incidence and prevalence of the disease remained more or less static over the years because of the low levels of case finding and treatment completion, leading to practically no epidemiological impact. [vikaspedia.in]
"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]
The impact of pathological jealousy Clinical features Epidemiology Aetiology Course and prognosis Differential diagnosis Forensic complications Treatment Delusional disorder: erotomanic subtype Clinical features Diagnosis and differential diagnosis Epidemiology [enetmd.com]
Pathophysiology
Previous reports have proposed that serotonergic dysfunction may be involved in the pathophysiology of Delusional Disorder, Somatic Type (DDST) based on reports of successful treatment with antidepressants [13,14]. [austinpublishinggroup.com]
Prevention
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]
At this time, there is no known method for preventing delusional disorder. The cause of alcohol abuse is complex, much like the cause of delusional disorder. [dualdiagnosis.org]
This condition can have a significant negative impact on virtually all aspects of an individual’s everyday life; however it may not necessarily prevent that individual from functioning within society on a regular basis. [crestwynbh.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]