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Delusional disorder

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Delusional disorder

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High Yield Notes
6 pages
Flashcards

Delusional disorder

7 flashcards
Questions

USMLE® Step 1 style questions USMLE

4 questions

USMLE® Step 2 style questions USMLE

1 questions
Preview

A 30-year-old woman is brought to the physician by her parent. For the last three months, the patient has been telling her parent that a famous singer is in love with her and is trying to reach out to her through the lyrics of his songs. The patient tells the physician that she knows he is in love with her and is trying to divorce his wife before officially getting in touch with her – therefore, to avoid any legal consequences, he has to contact her through his songs. Although her family has tried to convince her otherwise, the patient has been extremely stubborn about this belief, and she says that he will marry her as soon as he divorces his wife. The patient is working as a secretary for a law firm and is doing well in her job. She enjoys spending time with her friends and cooking during family gatherings. She does not use alcohol or recreational drugs. A urine drug test is negative. Which of the following is the most likely diagnosis?  

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Summary
Delusional disorder is a psychiatric condition in which the patients present with delusions, but with no accompanying prominent hallucinations, thought disorder, mood disorder, or significant flattening of affect. Delusions are a specific symptom of psychosis. Apart from their delusions, people with delusional disorder may continue to socialize and function in a normal manner and their behaviour does not generally seem odd or bizarre. However, the preoccupation with delusional ideas can be disruptive to their overall lives.