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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]
  • 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]
  • 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]
  • 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]
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]
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]
Malingering
  • In contrast, the diagnosis of factitious disorder requires the absence of obvious rewards Factitious Disorder: aka Malingering A.[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]
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]
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]
Hysteria
  • Conscious drives -Sometimes called hysteria -Spectrum of severity -Are they faking? Some Reasons That Patients ______.[quizlet.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]
Tremor
  • […] 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 --Tremors[quizlet.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 , 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]
  • ., 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 . CS1 maint: Multiple names: authors list ( link ) CS1 maint: Extra text: authors list ( link ) Stephan Heckers, Deanna M.[en.wikipedia.org]
  • Epidemiology General The prevalence of delusional disorder in the United States is estimated in the DSM-IV-TR to be around 0.03% , which is considerably lower than the prevalence of schizophrenia (1%) and mood disorders (5%).[health.am]
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’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]

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