Folie à deux (‘madness for two’), also known as shared psychosis or shared delusional disorder (SDD), is a psychiatric syndrome in which symptoms of a delusional belief, and sometimes hallucinations, are transmitted from one individual to another.
Wiki Number: W083
Diagnosis: Folie A Deux (Shared Psychosis)
Symptoms: “Folie-a-Deux” (madness for two) is a shared psychosis or shared delusions or hallucinations, shared from one to another
Progression: usually there is a dominant “inducer” and a “follower”. Could be delusions like organs removed or improbable good things
Causes: stress and social isolation; stress increases cortisol which increases brain-dopamine developing mental illness
Medications: antipsychotics, mood stabilizers for those with depression,
Therapies: individual or family therapy with a counselor
4 CURRENT ARTICLES
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- Folie a Deux: Shared Psychotic Disorder in a Medical Unitby Saumya Bhutani on October 7, 2021
CONCLUSION: A shared psychotic disorder is important to consider on the differential when cases of psychosis with delusional systems are seen on medical floors.
- A case study on a severe paranoid personality disorder client treated with metacognitive interpersonal therapyby Simone Cheli on July 15, 2021
Paranoid personality disorder (PPD) is a severe condition, lacking specialized and empirically supported treatment. To provide the clinician with insights into how to treat this condition, we present a case study of a 61-year-old man with severe PPD who presented with ideas of persecution, emotionally charged hostility, and comorbid antisocial personality disorder. The client was treated with 6 months of Metacognitive Interpersonal Therapy, which included: creating a shared formulation of his...
- Folie a Deux: A Case of Husband and Childrenby Vasudha Sharma on July 15, 2021
- Burns in the Context of a Shared Psychotic Disorder in a Colombian Referral Centre: a Case Reportby Diego Fernando Alarcón Ariza on June 4, 2021
CONCLUSIONS: The impact of this condition encompasses social, physical and psychological components, requiring multidisciplinary management and a high index of diagnostic suspicion.