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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]
  • 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]
  • 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]
Disability
  • -Playing the sick role can provide secondary gains -disability payments -avoiding social responsibilities. Physical or sexual traumas during childhood appears to predispose a person to using somatic complaints for communication.[quizlet.com]
  • Somatic : This is a paranoid delusion in which a person believes they have an illness, disability, or physical defect. A person with delusional disorder may experience one type of delusion or a few simultaneously.[sunrisehouse.com]
  • Schizophrenia is a chronic, severe, and disabling brain disorder that has affected people throughout history. About 1 percent of Americans have this illness [ 2 ].[omicsonline.org]
  • […] and widowhood among women may also be risk factors. [18] Delusional disorder is currently thought to be on the same spectrum or dimension as schizophrenia, but people with delusional disorder, in general, may have less symptomatology and functional disability[en.wikipedia.org]
Anorexia
  • 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]
  • She was later diagnosed with Anorexia nervosa as a consequence of undernourishment. After further examination, however, she was found to be suffering from Somatic Delusional Disorder.[primehealthchannel.com]
  • […] over-large or undersized breasts, dissatisfaction with the appearance of the genitalia, a skin blemish, or some other. (63) However, in other cases the total body is perceived as abnormal, and there is evidence that a small subgroup of apparent cases of anorexia[enetmd.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]
Crying
  • . -______ complaints may be a "cry" for help. -Physical illness is less stigmatizing than mental illness. Reasons continued.... -Misperception.[quizlet.com]
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]
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]
Nausea
  • --Dx: Depression More reasons that patients somatize Physical sx's -Pain -Nausea -Headache -Dizziness -________ -_______ -______ ___ SYMPTOMS ARE REAL PATIENTS ARE NOT LYING PATIENTS FEEL WHAT THEY ARE SAYING Somatic Symptom Disorder: Types of symptoms[quizlet.com]
  • Development of the classic symptoms of pregnancy - amenorrhea, nausea, breast enlargement and pigmentation, abdominal distension, and labor pains-occurs in a nonpregnant woman.[mjdrdypu.org]
Loss of Appetite
  • 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]
Torticollis
  • Amancio EJ; Peluso CM; Santos AC; Ekbom's syndrome and spasmodic torticollis: case report. Arq Neuropsiquiatr 2002; 60: 155-8.[jpad.com.pk]
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]
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]
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]
Hysteria
  • Conscious drives -Sometimes called hysteria -Spectrum of severity -Are they faking? Some Reasons That Patients ______.[quizlet.com]
Panic Attacks
  • Typical Presentation: -Multiple symptoms -Vague history -History doesn't always "add 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[quizlet.com]
Stupor
  • 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]
  • Includes symptoms of autonomic instability, altered mental status, which may progress to hyperthermia, stupor, and muscle hypertonicity. Death may occur. Cause: Neuroleptics (phenothiazines, etc.) Characteristics.[psychnet-uk.com]
  • […] congenital form versus an acquired form of the same condition. mood [affective] disorders with psychotic symptoms ( ICD-10-CM Diagnosis Code F30.2 Manic episode, severe with psychotic symptoms 2016 2017 2018 2019 Billable/Specific Code Applicable To Manic stupor[icd10data.com]
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]
Headache
  • --Dx: Depression More reasons that patients somatize Physical sx's -Pain -Nausea -Headache -Dizziness -________ -_______ -______ ___ SYMPTOMS ARE REAL PATIENTS ARE NOT LYING PATIENTS FEEL WHAT THEY ARE SAYING Somatic Symptom Disorder: Types of symptoms[quizlet.com]
  • She also complained of depression, which was treated with paroxetine at first, but, after she reported having headaches, was changed to venlafaxine extended release 37.5 mg/day, which was increased to 75 mg/day to optimally control her depressive symptoms[primarypsychiatry.com]
Dizziness
  • --Dx: Depression More reasons that patients somatize Physical sx's -Pain -Nausea -Headache -Dizziness -________ -_______ -______ ___ SYMPTOMS ARE REAL PATIENTS ARE NOT LYING PATIENTS FEEL WHAT THEY ARE SAYING Somatic Symptom Disorder: Types of symptoms[quizlet.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]
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]

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]
  • 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]
  • 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]
  • ., 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]
  • 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]
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]
  • 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]

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