Delusional disorder - Revision history

Rossdonaldson1: /* Management */

2016-11-13T19:36:03Z

Management

← Older revision		Revision as of 19:36, 13 November 2016
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	==Management==		==Management==
	Difficult to treat given limited insight, however individual outpatient psychotherapy recommended.		''Difficult to treat given limited insight, however individual outpatient psychotherapy recommended.''
	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}

Rossdonaldson1: /* Evaluation */

2016-11-13T19:35:54Z

Evaluation

← Older revision		Revision as of 19:35, 13 November 2016
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	==Evaluation==		==Evaluation==
	Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.		''Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation. ''

	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}

Rossdonaldson1: /* Background */

2016-11-13T19:35:10Z

Background

← Older revision		Revision as of 19:35, 13 November 2016
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	==Background==		==Background==
	Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence.		Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence.
	*Delusional subtypes
	**Ertomanic type: when the central theme of the delusion is that another person is in love with the individual		===Delusional subtypes===
	**Grandiose type: when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery		*Ertomanic type: when the central theme of the delusion is that another person is in love with the individual
	**Jealous type: when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful		*Grandiose type: when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery
	**Persecutory type: when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals		*Jealous type: when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful
	**Somatic type: when the central theme of the delusion involves bodily functions or sensations		*Persecutory type: when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals
	**Mixed type: applies when no one delusional theme predominates		*Somatic type: when the central theme of the delusion involves bodily functions or sensations
	**Unspecified type: applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types		*Mixed type: applies when no one delusional theme predominates
			*Unspecified type: applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types

	==Clinical Features==		==Clinical Features==

Humanguy: Added management option

2016-11-11T04:08:55Z

Added management option

← Older revision		Revision as of 04:08, 11 November 2016
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	==Management==		==Management==
			Difficult to treat given limited insight, however individual outpatient psychotherapy recommended.
	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}

Humanguy: Added to psychiatry category

2016-11-11T04:03:09Z

Added to psychiatry category

← Older revision		Revision as of 04:03, 11 November 2016
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	==References==		==References==
	<references/>		<references/>

			[[Category:Psychiatry]]

Humanguy: Created Page

2016-11-11T03:57:21Z

Created Page

← Older revision		Revision as of 03:57, 11 November 2016
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	**Somatic type: when the central theme of the delusion involves bodily functions or sensations		**Somatic type: when the central theme of the delusion involves bodily functions or sensations
	**Mixed type: applies when no one delusional theme predominates		**Mixed type: applies when no one delusional theme predominates
	*Unspecified type: applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types		**Unspecified type: applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types

	==Clinical Features==		==Clinical Features==
			*A. The presence of one (or more) delusions with a duration of 1 month or longer.<ref>American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.</ref>
			*B. Criterion A for [[schizophrenia]] has never been met.
			*C. Apart from the impact of the delusion(s) or its ramifications, functioning is not markedly impaired, and behavior is not obviously bizarre or odd.
			*D. If manic or major depressive episodes have occurred, these have been brief relative to the duration of the delusional periods.
			*E. The disturbance is not attributable to the physiological effects of a substance or another medical condition and is not better explained by another mental disorder, such as body dysmorphic disorder or obsessive-compulsive disorder.

	==Differential Diagnosis==		==Differential Diagnosis==
			{{Psychiatric Disorders with Psychotic Symptoms DDX}}

			===Organic Causes===
			*[[Meningitis]]
			*[[Encephalitis]]
			*[[Thyroid (Main)]]
			*Toxin ingestion
			*Medication effect

			===Nonorganic Causes===
			*Obsessive-compulsive and related disorders
			*Depressive and bipolar disorders

	==Evaluation==		==Evaluation==
			Rule out other organic causes including substance abuse, medication effect or other medical conditions. Consider emergency psychiatric evaluation in addition to medical evaluation.

			{{General ED Psychiatric Workup}}

	==Management==		==Management==
			{{General ED Psychiatric Management}}

	==Disposition==		==Disposition==
			*Home with outpatient psychiatric services if stable, versus inpatient psychiatric admission if unstable

	==See Also==		==See Also==
			*[[Acute psychosis]]
			*[[Schizophreniform disorder]]
			*[[Schizophrenia]]
			*[[Meningitis]]
			*[[Encephalitis]]
			*[[Schizoaffective disorder]]

	==External Links==		==External Links==

Humanguy: Created page with "==Background== Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence. *Delusional subtypes **Ertomanic type: when the central theme of t..."

2016-11-11T03:47:42Z

Created page with "==Background== Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence. *Delusional subtypes **Ertomanic type: when the central theme of t..."

New page

==Background==
Delusions are fixed beliefs that are not amenable to change in light of conflicting evidence.
*Delusional subtypes
**Ertomanic type: when the central theme of the delusion is that another person is in love with the individual
**Grandiose type: when the central theme of the delusion is the conviction of having some great (but unrecognized) talent or insight or having made some important discovery
**Jealous type: when the central theme of the individual’s delusion is that his or her spouse or lover is unfaithful
**Persecutory type: when the central theme of the delusion involves the individual’s belief that he or she is being conspired against, cheated, spied on, followed, poisoned or drugged, maliciously maligned, harassed, or obstructed in the pursuit of long-term goals
**Somatic type: when the central theme of the delusion involves bodily functions or sensations
**Mixed type: applies when no one delusional theme predominates
*Unspecified type: applies when the dominant delusional belief cannot be clearly determined or is not described in the specific types

==Clinical Features==

==Differential Diagnosis==

==Evaluation==

==Management==

==Disposition==

==See Also==

==External Links==

==References==
<references/>