Delusions

Question 1

What is delusional disorder characterized by?

Answer 1

• pts with a crystallized, single delusion
• do not have hallucinations or thought disorder
• often have normal lives
• not substance induced, due to another medical disorder, or other mental disorder

Question 2

What is a capgras delusion?

Answer 2

delusion where patient feels someone has been replaced by an imposter

Question 3

What is a fregoli delusion?

Answer 3

pt holds delusional belief that different people are in fact a single person who changes appearance or is in disguise
possible lesions in R temporal lobe and fusiform gyrus

Question 4

What is psychopathic cannibalism?

Answer 4

antisocial personality, psychopathy, sociopathy with delusions

Question 5

What is vampirism?

Answer 5

delusion that one is a vampire

Question 6

What is lycanthropy?

Answer 6

delusion that one is a werewolf

Question 7

What disorder is characterized by the sx’s of a delusional belief being transmitted from one person to another (or more)?

Answer 7

Shared delusional disorder (folie a deux, trois, quatre, familie or plusieurs)

Question 8

In shared delusional disorder, who is the folie imposee?

Answer 8

person who has the delusion

Question 9

In shared delusional disorder, who is the folie simultanee?

Answer 9

person who incorporates delusion into his/her life

Question 10

What is cotards delusion and in what type of mental disorder is it sometimes present?

Answer 10

delusion that one is dead, does not exist or is missing organs
usually with depression and schizophrenia

Question 11

What type of drugs do bath salts mimic?

Answer 11

amphetamines

Question 12

What is krokodil?

Answer 12

heroine like drug that rots flesh and bone

Question 13

What is morgellons/ delusional parasitosis?

Answer 13

patient believes they are infested, can see or often feel parasites on their skin

Question 14

What is erotomania?

Answer 14

• delusion in which the person believes that another person is in love with him or her
• denial of the affection by the object of the delusion is dismissed
• stalking is delusional, not for secondary gain
• *usually stranger, high status or famous person**

Question 15

How are delusional disorders treated?

Answer 15

antipsychotics are sometimes effective
psychotherapy may help the pt cope
be non-judgemental, non challenging, empathic and facilitate communication