Delusions
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What is delusional disorder characterized by?
• 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
What is a capgras delusion?
delusion where patient feels someone has been replaced by an imposter
What is a fregoli delusion?
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
What is psychopathic cannibalism?
antisocial personality, psychopathy, sociopathy with delusions
What is vampirism?
delusion that one is a vampire
What is lycanthropy?
delusion that one is a werewolf
What disorder is characterized by the sx’s of a delusional belief being transmitted from one person to another (or more)?
Shared delusional disorder (folie a deux, trois, quatre, familie or plusieurs)
In shared delusional disorder, who is the folie imposee?
person who has the delusion
In shared delusional disorder, who is the folie simultanee?
person who incorporates delusion into his/her life
What is cotards delusion and in what type of mental disorder is it sometimes present?
delusion that one is dead, does not exist or is missing organs usually with depression and schizophrenia
What type of drugs do bath salts mimic?
amphetamines
What is krokodil?
heroine like drug that rots flesh and bone
What is morgellons/ delusional parasitosis?
patient believes they are infested, can see or often feel parasites on their skin
What is erotomania?
• 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**
How are delusional disorders treated?
antipsychotics are sometimes effective psychotherapy may help the pt cope be non-judgemental, non challenging, empathic and facilitate communication