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Somatic Delusional Disorder


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]
  • In this report, we present a 40-year old man with somatic delusions following intoxication with Phenobarbital and left brachial plexus injury (C6, C7, C8) in stupor state.[ncbi.nlm.nih.gov]
  • Beginning with the emergence of the concept of delusional disorder, the book goes on to detail its manifold presentations, differential diagnosis and treatment.[books.google.com]
  • Present State Examination, 9th edn. London: MRC Institute of Psychiatry; Ait-Ameur A; Bern P. Delusional parasitosis or Ekbom's syndrome. Rev Med Interne 2000; 21: 182-6. Moretti M; Varga G. Psychosomatic dermatologic symptoms.[jpad.com.pk]
Dyspnea
  • […] relation to exacerbating or relieving factors -History out of proportion to exam All these symptoms would be considered somatic complaints Anxiety -Panic attacks - common features include: -- _________ --__________ --Dizziness --Sweating --Flushing --Dyspnea[quizlet.com]
Multiple Somatic Complaints
  • somatic complaints Specify IF: -________ - characterized by severe symptoms, marked impairment, and greater than 6 months duration Somatic Symptom Disorder: Diagnostic Criteria -- Specifiers, Predominant pain, Persistent -Other medical conditions -Panic[quizlet.com]
Malingering
  • In contrast, the diagnosis of factitious disorder requires the absence of obvious rewards Factitious Disorder: aka Malingering A.[quizlet.com]
Multiple Somatic Complaints
  • somatic complaints Specify IF: -________ - characterized by severe symptoms, marked impairment, and greater than 6 months duration Somatic Symptom Disorder: Diagnostic Criteria -- Specifiers, Predominant pain, Persistent -Other medical conditions -Panic[quizlet.com]
Crying
  • . -______ complaints may be a "cry" for help. -Physical illness is less stigmatizing than mental illness. Reasons continued.... -Misperception.[quizlet.com]
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]
Flushing
  • […] up" --No relation to exacerbating or relieving factors -History out of proportion to exam All these symptoms would be considered somatic complaints Anxiety -Panic attacks - common features include: -- _________ --__________ --Dizziness --Sweating --Flushing[quizlet.com]
Foul Body Odor
  • TMAU is a rare metabolic disorder associated with foul body odors. The patient also experienced severe concurrent mood symptoms because of social isolation resulting from his delusion about his body odors.[journals.lww.com]
Torticollis
  • Amancio EJ; Peluso CM; Santos AC; Ekbom's syndrome and spasmodic torticollis: case report. Arq Neuropsiquiatr 2002; 60: 155-8.[jpad.com.pk]
Excitement
  • Just as there was excitement in the anatomic advances that took place a hundred years ago when Emil Kraepelin and his collaborators took on the enormous task of classification of psychiatric disorders based on rational scientific thinking, new advances[books.google.com]
Peripheral Neuropathy
  • To our knowledge, somatic delusions secondary to peripheral neuropathy has not been reported up to now therefore this case illustrates a very rare organic delusional disorder.[ncbi.nlm.nih.gov]
Lethargy
  • His complains were weakness, lethargy, loss of appetite, abnormal sensation under the skin of lower abdomen and lower limbs and tingling sensation in the feet for last 5 months. He had no significant past medical or psychiatric illness.[ejpes.org]
Vertigo
  • It is also used in treatment of many other ailments like vertigo, anxiety, delusions, stress, and blood pressure. It is a very potent nervous tonic and is anti anxiety agent. It is also considered good for heart.[drvikram.com]
Suggestibility
  • 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]
  • This is the most wide-ranging and authoritative text on the subject to have appeared for many years, and the first to suggest, based on the author's extensive experience, that the category of delusional disorder should contain not one but several conditions[books.google.com]
  • Causes and Risk Factors Causes and risk factors for delusional disorder Research suggests that people who have family members with schizophrenia or schizotypal personality disorder are at greater risk of developing delusional disorder, suggesting that[southcoastbehavioral.com]
  • It has been suggested that treatment of emotional dysfunction may lead to reductions in current psychotic experiences [18].[austinpublishinggroup.com]
  • Nevertheless, the best available evidence suggests that delusional disorder is treatable.[jaapl.org]
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]
  • disorder Somatic Symptom Disorder: Differential Diagnoses to Consider...[quizlet.com]
  • In cases that involve an individual feeling that his or her obsessive-compulsive disorder beliefs are true, a delusional disorder diagnosis should not be made, but rather an obsessive-compulsive disorder, with absent insight/delusional beliefs specifier[thriveworks.com]
  • 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]
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]
Psychiatric Manifestation
  • Further exploration and investigation into schizophrenia with somatic delusions is necessary to better understand its psychiatric manifestations and consequences.[omicsonline.org]
Abnormal Behavior
  • A wide range of medical conditions and treatments may result in abnormal behavior, and many medical disorders may produce or exacerbate psychiatric symptoms in patients with pre-existing mental illness.[omicsonline.org]
  • An injection of haloperidol may help in reducing agitation and abnormal behavior. Lorazepam is often combined with haloperidol and administered for faster recovery.[primehealthchannel.com]

Workup

Slowing
  • Some substances, like alcohol, opioids (heroin and prescription pain killers), and benzodiazepine medications (sleep aids and anti-anxiety drugs), may seem to dampen the symptoms of delusional disorder temporarily, as these substances slow down functions[americanaddictioncenters.org]
  • To decrease anxiety and slow behavior in emergency situations where agitation is a factor, an injection of haloperidol (Haldol) is often given usually in combination with other medications (often lorazepam , also known as Ativan).[minddisorders.com]

Treatment

  • Several new chapters dealing with new concepts in biology and treatment of mental disorders have been added.[books.google.com]
  • Factitious Disorder: Evaluation and Treatment[quizlet.com]
  • Beginning with the emergence of the concept of delusional disorder, the book goes on to detail its manifold presentations, differential diagnosis and treatment.[books.google.com]
  • Recent advances in the diagnosis and treatment of obsessive- compulsive disorder have come from breakthroughs in neurobiologic and cognitive-behavioral studies.[books.google.de]

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]
  • 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 , 15.05.2008 - 799 Seiten 1 Rezension 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]
  • ., ingestion) Differential Organic etiologies associated with delusions neurodegenerative disorders infectious diseases (HIV, neurosyphillis, acute viral encephalitis) metabolic (hypercalcemia, hyponatremia, hypoglycemia, uremia) endocrinopathies (Addison's[medbullets.com]
  • Etiology: As with many other psychotic disorders, the exact cause of delusional disorder is not yet known. Researchers are, however, looking at the role of various genetic, biological, and environmental or psychological factors.[vikaspedia.in]

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 . Stephan Heckers, Deanna M. Barch, Juan Bustillo, Wolfgang Gaebel, Raquel Gur, Dolores Malaspina, Michael J.[en.wikipedia.org]
  • Thus, even the basic task of quantifying the epidemiologic features of delusional disorder is fraught with challenges. Nevertheless, some estimates of the prevalence of delusional disorder have been made to date.[jaapl.org]
Sex distribution
Age distribution

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]
  • 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]
  • 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]
  • Can Delusional Disorder Be Prevented? There is no known way to prevent delusional disorder. However, early diagnosis and treatment can help decrease the disruption to the person's life, family, and friendships.[webmd.com]

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