Delusional disorder, previously called paranoid disorder, is a type of serious mental illness called a psychotic disorder. People who have it can’t tell what’s real from what is imagined. Delusions are the main symptom of delusional disorder. They’re unshakable beliefs in something that isn’t true or based on reality.
Wiki Number: W053
Diagnosis: Delusional Disorder
US Patients: 1% of mental health admissions
Sex Ratio: M;W1½
Age Onset: Age 40
Brain Area: neurotransmitters
Symptoms: strong beliefs, despite evidence; psychotic-out of touch with reality; holds them defensively
Progression: Types: erotomanic – another loves me; grandiose, jealous, persecutory, somatic-error on a medical condition or defect.
Causes: genetic; neurotransmitter, familial component
4 CURRENT ARTICLES
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PubMed article’s summary-abstract.
- A Case of Delusional Parasitosis With Folie à Deux Treated With Low-Dose Quetiapineby Christina Kalovidouri on July 1, 2022
A patient with a three-month history of persistent delusions of infestation presented to the emergency department with suicidal ideation secondary to complaints of worsening pruritus. Routine investigations failed to disclose any underlying organic cause for her pruritic sensations. The patient ascribed these to a parasitic infestation acquired following a brief stay at her maternal aunt's residence. Following a thorough psychiatric assessment and collateral history obtained from her aunt, it...
- Delusions of Glass Under Skin: An Unusual Case of Somatic-Type Delusional Disorder Treated with Olanzapineby Nicholas Comardelle on July 1, 2022
INTRODUCTION: The management of delusional disorder (DD) remains difficult due to poor patient insight and a lack of definitive treatment guidelines. For the somatic subtype specifically, prior studies have shown successful treatment with the first-generation antipsychotics (FGA) pimozide, but these studies did not specify the nature of the delusions. It has been theorized that pimozide effectiveness is due to its unique ability to relieve itching sensations, which are commonly associated with...
- Presentation and Outcomes of Otolaryngologic Surgeries in Patients With Mental Illness Historyby Zaid Al-Qurayshi on June 29, 2022
CONCLUSIONS: Patients with a history of mental illness are increasingly encountered in otolaryngology service. This study provides an epidemiological perspective that warrants increasing clinical investigation of this subpopulation.
- Body Dysmorphic Disorder: Clinical Overview and Relationship to Obsessive-Compulsive Disorderby Katharine A Phillips on June 24, 2022
Body dysmorphic disorder (BDD), characterized by a distressing or impairing preoccupation with nonexistent or slight defects in appearance, is associated with markedly poor quality of life and high rates of suicidality. Onset of BDD is usually in childhood or adolescence and, unless appropriately treated, tends to be chronic. The first-line pharmacologic approach for both delusional and non-delusional BDD is serotonin reuptake inhibitors (SRIs), often at high doses. SRI augmentation and...