Behavioral Science - Delusional disorders

Question 1

What is the DSM5 criteria for a delusional disorder?

Answer 1

delusion(s) persisting > month
Not schizophenia

outside of delusion or its ramifications, functioning not significantly impaired

not attributable to substances or other psychiatric or medical conditions

Question 2

Do delusion disorders involve hallucinations?

Answer 2

no

Question 3

Are delusion disorders psychotic conditions?

Answer 3

yes

Question 4

Are delusion disorders “thought disorders”?

Answer 4

no - not like schizophenia - people with delusion disorders usually don’t appear to suffer from psychotic condition unless their specific delusion comes to light

Question 5

Are single or multiple delusions more common among delusion disorders?

Answer 5

single - very detailed and apparently clear (crystallized) fixed false believe is more common than multiple delusions

Question 6

Which delusion disorder?

Delusion where patient feels someone has been replaced by an imposter

Answer 6

Capgras Delusion

Question 7

Which delusion disorder?

Patient holds a delusional belief that different people are in fact a single person who changes appearance or is in disguise

Answer 7

Fregoli Delusion

Question 8

Which delusion disorder?

The delusion that one is a vampire

Answer 8

Vampirism

Question 9

Which delusion disorder?

The delusion that one is a werewolf

Answer 9

Lycanthropy

Question 10

Which delusion disorder?

The delusion that consumption of human flesh confers a unique and desirable effect that is unrelated to rescue from starvation.

Answer 10

Psychopathic Cannibalism

Question 11

Which delusion disorder?

Syndrome in which symptoms of a delusional belief are transmitted from one individual to another.

Answer 11

Folie a Deux/Shared Delusion Disorder/ Zombiesm

Question 12

Which delusion disorder?

the delusion that one is dead, do not exist, or missing organs

Answer 12

Cotard’s Delusion

Question 13

The delusion that one is infested, often can see or feel parasites in or on them

Answer 13

Morgellons/Delusional Parasitosis

Question 14

a condition in which psychological stress manifests somatic symptoms of a disease with no underlying physical cause

Answer 14

Conversion disorder - not a delusion disorder

Question 15

Which delusion disorder is most often associated with Antisocial personality, psychopathy, sociopathy

Answer 15

Psychopathic Cannibalism

Question 16

Which delusion disorder?

Delusion in which one believes that another person, usually a stranger, high-status or famous person, is in love with them.

Answer 16

Erotomanic Delusions

Stalking is common – it is delusional, not stalking for secondary gain

Question 17

What is the pathophysiological basis for delusion disorders?

Answer 17

assumption is that they have too much mesolimbic dopamine activity similar to schizophrenia

Question 18

What type of delusion is Morgellons?

Answer 18

Somatic delusion/ Paranoid delusion

Question 19

Does psychotherapy help in treatment of delusional disorders?

Answer 19

May help patients cope, lower anxiety, agitation or ability to respond to these symptoms if antipsychotics fail

Question 20

What is flawed about the dopamine theory of delusion disorders?

Answer 20

antidopaminergic antipsychotics sometimes effective but often not