Delusional disorder history and symptoms
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
The hallmark of delusional disorder is non-bizarre delusions. A positive history of irritable, angry, or low mood and hallucinations that are related to the delusion is suggestive of delusional disorder.
History
Interviews are important tools to obtain information about the patient's life situation and past history to help make a diagnosis. Clinicians generally review earlier medical records to gather a full history. Clinicians also try to interview the patient's immediate family, as this can be helpful in determining the presence of delusions.
Symptoms
- The presence of non-bizarre delusions is the most obvious symptom of this disorder. Other symptoms include the following:
- An irritable, angry, or low mood. Mild dysphoria may be present without regard of type of delusions. Mood and affect are consistent with delusional content: for example, patients with persecutory delusions may be suspicious and anxious.
- Tactile and olfactory hallucinations may be present. Hallucinations are related to the delusion.[1]
References
- ↑ Ramos N, Wystrach C, Bolton M, Shaywitz J, IsHak WW (2013). "Delusional disorder, somatic type: olfactory reference syndrome in a patient with delusional trimethylaminuria". J Nerv Ment Dis. 201 (6): 537–8. doi:10.1097/NMD.0b013e31829482fd. PMID 23719328.