Delusional disorders Flashcards
Delusional disorders are usually ______, sometimes ______ and have no identifiable ______ ______
Persistent, life long, organic basis
Characteristically delusional disorder is in the absence of ______
Other psychopathology
People with delusional disorder don’t have schizophrenia or a mood disorder, but may have intermittent ______ symptoms
Depressive
Do occasional auditory hallucinations r/o delusional disorder?
No
Onset of delusional disorders?
40-55yrs
What is pathological jealousy also known as?
Othello syndrome or conjugal paranoia
Features of pathological jealousy
Think spouse is unfaithful
Look for evidence
Risk of violence
True or false pathological jealousy may be assoc with other disorders?
True (if so treat cause)
Rx pathological jealousy?
Antipsychotics
Psychotherapy
Recommend separation of the couple
What is De Clerambault’s synd?
Belief that someone (often higher social/professional status or in some way unattainable) is in love with them
May make repeated attempts to contact them
Rejection may be interpreted as a coded message of love
F>M in de clerambault’s?
F>M but in forensics M>F
What are querulant delusions?
Persecutory delusions
Believe they are being persecuted e.g. being defrauded or plotted against
Often lodge complaints, may take legal action
What is cotard’s syndrome?
Deline de negation
Nihilistic. Believe that all their wealth has gone, or relatives/friends no longer exist, or parts of their body don’t exist (somatic form)
Can be secondary to very severe depression or an organic disorder
What is capgras syndrome?
Believe someone close to them has been replaced by a double
Can be secondary to schizophrenia, mood disorder or organic
Derealisation is common
Illusion des sosies
What is the most common delusional disorder?
Persecutory/querulant delusions
