Delusional disorder is a psychiatric diagnosis A mental disorder or mental illness is a psychological or behavioral pattern that occurs in an individual and is thought to cause distress or disability that is not expected as part of normal development or culture. The recognition and understanding of mental health conditions has changed over time and across cultures, and there are still denoting a psychotic Psychosis means abnormal condition of the mind, and is a generic psychiatric term for a mental state often described as involving a "loss of contact with reality". People suffering from psychosis are described as psychotic mental disorder A mental disorder or mental illness is a psychological or behavioral pattern associated with distress or disability that occurs in an individual and is not a part of normal development or culture. The recognition and understanding of mental health conditions has changed over time and across cultures, and there are still variations in the that is characterized by holding one or more non-bizarre delusions A delusion, in everyday language, is a fixed belief that is either false, fanciful, or derived from deception. Psychiatry defines the term more specifically as a belief that is pathological . As a pathology, it is distinct from a belief based on false or incomplete information, dogma, stupidity, apperception, illusion, or other effects of[1] in the absence of any other significant psychopathology Psychopathology is the study of mental illness, mental distress and abnormal, maladaptive behavior. The term is most commonly used within psychiatry where pathology refers to disease processes. Abnormal psychology is a similar term used more frequently in the non-medical field of psychology. Non-bizarre delusions are fixed beliefs that are certainly and definitely false, but that could possibly be plausible, for example, someone who thinks he or she is under police surveillance. In order for the diagnosis to be made auditory and visual hallucinations A hallucination, in the broadest sense of the word, is a perception in the absence of a stimulus. In a stricter sense, hallucinations are defined as perceptions in a conscious and awake state in the absence of external stimuli which have qualities of real perception, in that they are vivid, substantial, and located in external objective space. The cannot be prominent, although olfactory or tactile hallucinations related to the content of the delusion may be present.[2]
To be diagnosed with delusional disorder, the delusion or delusions cannot be due to the effects of a drug A drug, broadly speaking, is any substance that, when absorbed into the body of a living organism, alters normal bodily function. There is no single, precise definition, as there are different meanings in drug control law, government regulations, medicine, and colloquial usage, medication A pharmaceutical drug, also referred to as medicine, medication or medicament, can be loosely defined as any chemical substance intended for use in the medical diagnosis, cure, treatment, or prevention of disease, or general medical condition A medical condition is any illness, injury, or disease that affects an individual's health or that may be a focus of medical attention. Some authors favor the term as a value neutral alternate to "illness" or "disease", which many view as having negative connotations. While the term medical condition generally includes mental, and delusional disorder cannot be diagnosed in an individual previously diagnosed with schizophrenia Schizophrenia is a serious mental illness characterized by a disintegration of the process of thinking, of contact with reality, and of emotional responsiveness. It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking with significant social or occupational dysfunction. Onset of. A person with delusional disorder may be high functioning The Global Assessment of Functioning is a numeric scale (0 through 100) used by mental health clinicians and physicians to subjectively rate the social, occupational, and psychological functioning of adults, e.g., how well or adaptively one is meeting various problems-in-living. The scale is presented and described in the DSM-IV-TR on page 32 in daily life and may not exhibit odd or bizarre behavior aside from these delusions. The Diagnostic and Statistical Manual of Mental Disorders The Diagnostic and Statistical Manual of Mental Disorders is published by the American Psychiatric Association and provides a common language and standard criteria for the classification of mental disorders. It is used in the United States and in varying degrees around the world, by clinicians, researchers, psychiatric drug regulation agencies, (DSM) defines six subtypes of the disorder characterized as erotomanic Erotomania is a type of delusion in which the affected person believes that another person, usually a stranger or famous person, is in love with him or her. The illness often occurs during psychosis, especially in patients with schizophrenia or bipolar mania. In one case, erotomania was reported in a patient who had undergone surgery for a, grandiose Grandiose delusions or delusions of grandeur are principally a subtype of delusional disorder but could possibly feature as a symptom of schizophrenia and manic episodes of bipolar disorder. Grandiose delusions are characterized by fantastical beliefs that one is famous, omnipotent, or otherwise very powerful. The delusions are generally fantastic,, jealous, persecutory, somatic, and mixed, i.e., having features of more than one subtypes.[2] Delusions A delusion, in everyday language, is a fixed belief that is either false, fanciful, or derived from deception. Psychiatry defines the term more specifically as a belief that is pathological . As a pathology, it is distinct from a belief based on false or incomplete information, dogma, stupidity, apperception, illusion, or other effects of also occur as symptoms of many other mental disorders, especially the other psychotic disorders Psychosis means abnormal condition of the mind, and is a generic psychiatric term for a mental state often described as involving a "loss of contact with reality". People suffering from psychosis are said to be psychotic.
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Indicators of a delusion
The following can indicate a delusion:[3]
- The patient expresses an idea or belief with unusual persistence or force. (Adrian James Honan)
- That idea appears to exert an undue influence on his or her life, and the way of life is often altered to an inexplicable extent.
- Despite his/her profound conviction, there is often a quality of secretiveness or suspicion when the patient is questioned about it.
- The individual tends to be humorless and oversensitive, especially about the belief. (John Parsons)
- There is a quality of centrality: no matter how unlikely it is that these strange things are happening to him, the patient accepts them relatively unquestioningly. (Matthew Ludgate)
- An attempt to contradict the belief is likely to arouse an inappropriately strong emotional reaction, often with irritability and hostility. (Matthew Ludgate)(Adrian James Honan)
- The belief is, at the least, unlikely, and out of keeping with the patient's social, cultural and religious background.
- The patient is emotionally over-invested in the idea and it overwhelms other elements of his or her psyche In psychoanalysis and other forms of depth psychology, the psyche refers to the forces in an individual that influence thought, behavior and personality. The word is borrowed from ancient Greek, and refers to the concept of the self, encompassing the modern ideas of soul, self, and mind. The Greeks believed that the soul or "psyche" was.
- The delusion, if acted out, often leads to behaviors which are abnormal and/or out of character, although perhaps understandable in the light of the delusional beliefs. (Matthew Ludgate)
- Individuals who know the patient will observe that his or her belief and behavior are uncharacteristic and alien.
Features
The following features are found:[3]
- It is a primary disorder.
- It is a stable disorder characterized by the presence of delusions to which the patient clings with extraordinary tenacity.
- The illness is chronic and frequently lifelong.
- The delusions are logically constructed and internally consistent.
- The delusions do not interfere with general logical reasoning (although within the delusional system the logic is perverted) and there is usually no general disturbance of behavior. If disturbed behavior does occur, it is directly related to the delusional beliefs.
- The individual experiences a heightened sense of self-reference. Events which, to others, are nonsignificant are of enormous significance to him or her, and the atmosphere surrounding the delusions is highly charged.
Types
Diagnosis of a specific type of delusional disorder can sometimes be made based on the content of the delusions. The Diagnostic and Statistical Manual of Mental Disorders The Diagnostic and Statistical Manual of Mental Disorders is published by the American Psychiatric Association and provides a common language and standard criteria for the classification of mental disorders. It is used in the United States and in varying degrees around the world, by clinicians, researchers, psychiatric drug regulation agencies, (DSM) enumerates six types:
- Erotomanic Type (erotomania): delusion that another person is in love with the individual.
- Grandiose Type: delusion of inflated worth, power, knowledge, identity, or special relationship to a famous person.
- Jealous Type: delusion that the individual's sexual partner is unfaithful.
- Persecutory Type: delusion that the person (or someone to whom the person is close) is being malevolently treated in some way.
- Somatic Type: delusions that the person has some physical defect or general medical condition (for example, see delusional parasitosis).
- Mixed Type: delusions with characteristics of more than one of the above types but with no one theme predominating.
A diagnosis of 'unspecified type' may also be given if the delusions fall into several or none of these categories.[2]
See also
- Monothematic delusions
- Paranoia
- Systematized delusions
References
- ^ delusional disorder at Dorland's Medical Dictionary
- ^ a b c American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4th ed., text revision). Washington, DC: American Psychiatric Association.
- ^ a b Munro, Alistair (1999). Dilusional disorder: paranoia and related illnesses. Cambridge, UK: Cambridge University Press. ISBN 0-521-58180-X.
Further reading
- Sims, A. (1995) Symptoms in the mind: An introduction to descriptive psychopathology. Edinburgh: Elsevier Science Ltd. ISBN 0-7020-2627-1
- APA.(2000) "Diagnostic and Statistical Manual, Fourth Edition, Text Revision". Washington DC: American Psychiatric Association. ISBN 978-0890420249
External links
Categories: Delusional disorder | Psychosis | Mental illness diagnosis by DSM and ICD | Paranoia
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because of his delusional behaviour, which got him arrested and assessed as being a full-blown paranoid schizophrenic . Every part of the system that ever ...
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thoughts seem very scattered and disorganized They are commonly very withdrawn emotionless and suspicious A more complete list of symptoms will be found in the Mood Disorder Self Test Delusional psychotic thinking Schizophrenia is a more difficult condition to treat than the mood disorders and the medications called antipsychotics tend to have more side
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Wed, 31 Mar 2010 23:22:27 GM
Delusional Disorder. Forum. Statistics : 5 Replies || 95 Views Last post by tmo.
Q. Here is a definition of "Delusional Disorder": My friend has been acting really weird recently. He told me that he believed that an invisible friend of his named "Bob" was the creator of the universe. The details of his "beliefs" are very intricate. I won't go into them, but I will tell you the following: He expresses his ideas and beliefs with unusual persistence or force. His beliefs appear to exert an undue influence on his life, and his way of life is often altered to an inexplicable extent because of them. Despite his profound conviction, there is often a quality of secretiveness or suspicion when I question him about it. He tends to be humorless and oversensitive about the beliefs. There is a quality of centrality to… [cont.]
Asked by Nikki - Sun Jun 28 19:41:13 2009 - - 21 Answers - 0 Comments
A. Yes; he has a problem and it's why I am ANTI-theist because whilst ever we give permission to 'the moderates' to believe in their invisible space chappie nonsense we are in fact giving permission to the zealots to go all sociopathic. We need to do a lot more pointing and laughing at ANYONE who mentions their belief in invisible space chappies. They are delusional. They can NOT claim they are not AS delusional AS suicide bombers. Delusional is similar to pregnant in that you are or you aren't. ~
Answered by Everard J - Sun Jun 28 19:54:43 2009


