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Delusional Disorder

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Persistent delusional disorder

Age group 35-55 • Non-bizarre systematised


delusions
Single or divorced
Duration 3 months or more • Foothold in reality, keeping with
Predisposing factors: cultural norms Auditory & visual
hallucinations not prominent
while olfactory & tactile
• paranoid premorbid traits hallucinations may be prominent
• Stubborn
• immigrants • Personality remains intact
• deafness
• blindness • Full recovery in 30%, severe
• educational disadvantage impairment in 20%
Delusional disorder
Sub-types
Persecutory Erotomania
• Victim of a plot • Someone of higher status
• Everyday actions viewed as lover her
offensive
• Everyday encounters related
to affair
Hypochondriacal disorder
• delusional belief about bodily ill
health Dysmorphophobia
• Olfactory, dysmorphic, infestation • Presumed defect in
type
appearance
• Mirror checking &
Delusional jealousy assurance seeking
• Delusion of wife's infidelity
• Search for proof & confession
Psychoses
Schizoaffective disorder Brief psychotic episode
• Prevalence less than 1% • Pre existing personality
• More common in women disorder
• At least one symptom of • Female gender
schizophrenia and one of • Younger age of onset
affective disorder for at least • Strong cultural influences on
two weeks presentation
• Family history suggestive of • Acute onset
affective disorders • Duration of less than 2
• 20% deteriorating course months
• Perplexity, confusion, rapid
shifts in affect, disorganized
behaviour

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