Folie à Deux: Shared or “Infected” Madness? About a Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S529-S530
Author(s):  
M.Á. Soriano ◽  
C. Garcia
Keyword(s):  
Mental Health ◽  
Mental Health Center ◽  
Psychiatric Condition ◽  
Psychotic Experience ◽  
Environmental Features ◽  
The Family ◽  
Folie À Deux ◽  
Delusional System ◽  
Competing Interest ◽  
Folie A Deux

The shared madness or Folie à deux was described in France in the nineteenth century by Charles Lasage and Pierre Falret, as a condition where a person (the primary) builds a delusional system, sharing it with another (the secondary), who must be very close to the first affected, becoming delirious with the same subject. Several theories attempt to explain the phenomenon that challenges theories of personality structures, rooted in relational and/or environmental features of psychosis. Theoretically, there are many attempts to classify this psychotic experien in some manuals they distinguish various types of partners: the simultaneous psychosis, where the two people start to became delirious at once; imposed psychosis, in which the disorder arises first with one, then going on to “healthy” individual and symptomatology disappears after being separated; and communicated psychosis, where the first transmitted the psychotic experience to the second, and he or she develops his or her own delusion not interrupted even while separated. Other classifications about shared madness not only between two people, but three, and four, even a whole family show us how complicated the delirium systems can become. In our paper, we will discuss the different theories explaining this rare psychiatric condition based on a case about two brothers of 35 and 37, who live together with the rest of the family, and also come together to the same mental health center, although with different psychiatrists.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Early Signs of Crisis in the Perception of Users and their Family

2017 ◽  
Vol 41 (S1) ◽  
pp. s791-s792
Author(s):  
G. Fucci ◽  
N. Ratti ◽  
R. Ignarra
Keyword(s):  
Mental Health ◽  
Health Center ◽  
Management Practice ◽  
Mental Health Center ◽  
Educational Activity ◽  
Early Signs ◽  
The Family ◽  
Competing Interest ◽  
The Individual ◽  
The City

The identification of the early signs of crisis is globally considered one of the fundamental elements in the illness management practice of the psychiatric user. For this reason the mental health center of the city of Ravenna wanted to offer a personalized questionnaire to a 15 random-selected users and their families, with the aim of evaluating and analyzing the alarm signals in the participant's perception. The questionnaire has been created on the basis of other tests in the literature. It is divided in two parts, a “symptomatic”, related to the early signs of crisis, and an “environmental”, focalized on the potentially stressing situations for the individual. The administration took place within the individual and the family talks at the center. This project was implemented not only as a psycho-educational activity for the users and their family's, but also to amplify the knowledge of the staff on these signs. The results have shown how often there are points of difference in the perceptions of the early signs of crisis of the users and their families and it is believed this could turn out to be an important factor to be worked on within the projects of psycho-education of the mental health center.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Group therapy based on mindfulness in a mental health center

2016 ◽  
Vol 33 (S1) ◽  
pp. S642-S642
Author(s):  
A. Uría de los Ojos ◽  
J. Ballesteros López ◽  
P. Rico García ◽  
A.B. González Palacios ◽  
C. Domínguez García
Keyword(s):  
Mental Health ◽  
Group Therapy ◽  
Health Center ◽  
Mental Health Center ◽  
Present Moment ◽  
Meditation Practice ◽  
Final Session ◽  
Before And After ◽  
Competing Interest

IntroductionMindfulness is defined as the ability of paying attention to the present moment with intentionality, moment to moment without making judgments of value.ObjectivesTo describe the effectiveness of group therapy performed in our mental health center according to the results in the SOFI scale of patients. This scale is designed to assess different qualities, which evolve through training in meditation practice based on mindfulness.MethodsGroup therapy consisted of 12 weekly sessions of an hour and a half. A total of 11 patients, 7 of which having completed therapy. The questionnaires were answered in the first and final session of therapy.ResultsThe questionnaire items were divided before and after treatment, into four categories with the following results: positive (friendly, happy, acceptance, compassion) to himself: 1.86 (0.54)/2.75 (0.78) and to others 3.57 (0.86)/3.89 (0.54); negative (hate, angry, cruel, bad) to himself: 2.92 (0.54)/2 (0.23); and to others: 2.28 (0.41)/1.96 (0.36)ConclusionsIn keeping with similar studies, the scale shows effectiveness of therapy in all sets of items, highlighting the variation of the aspects related to himself.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals A Contagious Disorder: Folie à Deux and Dementia

2018 ◽  
Vol 33 (7) ◽  
pp. 415-422 ◽  
Author(s):  
Gabriele Cipriani ◽  
Noha Abdel-Gawad ◽  
Sabrina Danti ◽  
Mario Di Fiorino
Keyword(s):  
High Risk ◽  
19Th Century ◽  
Psychotic Disorder ◽  
Clinical Condition ◽  
Case Reports ◽  
Search Terms ◽  
Folie À Deux ◽  
Delusional System ◽  
Shared Psychotic Disorder ◽  
Folie A Deux

Background: Folie à deux is a clinical condition that was first described in 19th century. It is a psychotic disorder in which two closely associated individuals share a similar delusional system. Objectives: The aim of this article is to review the nosological significance of folie à deux and to explore the disorder among patients with dementia. Methods: Medline and Google Scholar searches were conducted for relevant articles, chapters, and books published before 2017. Search terms used included dementia, folie à deux, induced delusional disorder, neurocognitive disorders, shared psychotic disorder. Publications found through this indexed search were reviewed for further relevant references. Results and Conclusion: Cases of Folie à deux involving patients with dementia are reported quite infrequently. Most of the studies on the topic consist in case reports. Clinicians are obliged to treat the disorder. They should be alert to the potential high risk inherent this psychotic syndrome.

Does community care works? Evaluate the effectiveness of mental health services

2016 ◽  
Vol 33 (S1) ◽  
pp. S631-S631
Author(s):  
M. Giacomin
Keyword(s):  
Mental Health ◽  
Rating Scale ◽  
Personal Autonomy ◽  
Mental Health Center ◽  
Health Centre ◽  
Residential Community ◽  
Starting Point ◽  
Time Utilization ◽  
Competing Interest ◽  
Treatment Package

IntroductionImproving quality require the capability to evaluate clinical and operational processes and improve patients outcomes. Just in the view of evidence-based practise (EBP) it's used HONOS rating Scale, adopted since May 2012, by Mental Health Center of Villorba (Treviso-Italy) There are 3 package treatments: rehabilitative, territorial and clinical.ObjectivesTo identify which variables are positively correlated to HONOS improvement in patients group who frequented Mental Health Centre along 36 months. All patients present severe mental illness.AimsEvaluate the effectiveness of interventions and correlate to treatment package and individual feature. Analyze treatment process for quality improvement.MethodA psychiatric team (4 nurses, 1 psychiatrist) administered Honos Rating Scale along 3 years: on starting point and 6, 12 and 36 months later: T 0,1,2,3,4. Patients are also described by diagnosis, mental, social and autonomy skill, time, utilization of MHC and anagraphic information.ResultsAll 15 groups’ patients realize lower scoring, after 36 months’ treatment. Seven have got reliable improvement (i.e. = > 8-point lowering T3–T4) and positively correlate with: (1) 36 months’ treatment, at 12 months in rehabilitative Package; (2) days in residential/semi-residential community from 82 to 311 days. Related tables are included in paper.Discussion and conclusionHONOS score correlates directly with clinical and riabilitation improvement, i.e. mental, social capacity, and personal autonomy. It needs more investigation to clear which other factors are involved with improvement.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

Non-Attendance at Initial Appointments in an Outpatient Mental Health Centre

2016 ◽  
Vol 33 (S1) ◽  
pp. S485-S485
Author(s):  
S. Ramos Perdigues ◽  
S. Gasque Llopis ◽  
S. Castillo Magaña ◽  
Y. Suesta Abad ◽  
M. Forner Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Social Services ◽  
Mental Health Problems ◽  
Mental Health Center ◽  
Health Centre ◽  
Outpatient Mental Health ◽  
Use Of Resources ◽  
Mental Health Centre ◽  
Competing Interest

IntroductionNon-attendance at initial appointments is an important problem in outpatient settings and has consequences, such as decreased efficient use of resources and delayed attention to patients who attend their visits, and that compromises quality of care.ObjectivesTo identify and describe the characteristics of patients who do not attend the first appointment in an adult outpatient mental health center, located in Barcelona.MethodRetrospective study. The sample was made up from all patients who had a first appointment during 2014 in our outpatient mental health centre. Socio-demographic and clinical data (type of first appointment, reason for consultation, origin of derivation, priority, history of mental health problems) were described. The results were analyzed using the SPSS statistical package.ResultsA total of 272 patients were included. Twenty-six per cent did not attend their first appointment; with mean age 39.75 years and 51.4% were male. Most frequent problems were anxiety (41.7%), depression (26.4%) and psycosis and behavioural problems (11.2%). The origin was primary care (83.3%), social services (4.2%) and emergencies (2.8%). Most of them were not preferent or urgent (86.1%). The 51.4% of non-attendees had history or psychiatric problems and 13.9% nowadays are patients of our mental health centre.ConclusionsIt is important to develop mechanisms that can reduce the incidence of first non-attended appointments. In our case, most of them are attended by primary care so we can establish better communication with our colleagues and try to contact to the patients prior to the date of the appointment.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Ekbom syndrome in a visually impaired patient with alcohol abuse and OCD: A case report

2017 ◽  
Vol 41 (S1) ◽  
pp. s829-s829
Author(s):  
A. Portilla Fernandez ◽  
L. Montes Reula ◽  
H. Saiz García ◽  
R. Ortigosa Aguilar ◽  
A.S. Rosero Enriquez ◽  
...  
Keyword(s):  
Mental Health ◽  
Case Report ◽  
Alcohol Abuse ◽  
Visually Impaired ◽  
Compulsive Behavior ◽  
Impaired Patient ◽  
The Family ◽  
Ekbom Syndrome ◽  
Competing Interest ◽  
Long Acting

This is a case report of a 63-year-old patient with no previous attentions in mental health. He is referred by his general practitioner because he presents wounds all over his body. He reports that there is a plague of bugs at his place that bite him everywhere. Therefore, he scratches continuously, trying to remove the stingers, and injuring himself all over. The family ensures there are no bugs at all, but the patient threatens to set fire to the house in order to extinguish the plague or even kill himself. An OCD with cleaning compulsive behavior was also present since many years, as well as an alcohol abuse. The patient required hospitalization in the psychiatry service. Organic cause for the disorder was discarded. Long-acting injectable aripiprazol was introduced and the patient stopped drinking. Progressively, the delusional symptoms began to subside. Now he maintains no awareness of illness but he says the bugs are disappearing and, at least, they do not bite him anymore.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Cocaine use and employment

2016 ◽  
Vol 33 (S1) ◽  
pp. S314-S314
Author(s):  
M.R. Raposo ◽  
V. Ivanov ◽  
J.B. Murcia ◽  
M.D. Piqueras ◽  
I. Martínez ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Center ◽  
Employment Status ◽  
Mental Health Center ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Men And Women ◽  
Cocaine Use ◽  
Employment Situation ◽  
Competing Interest

IntroductionCocaine use is prevalent in mental health consultations in both sexes. However, in men and women there are differences in the frequency of use of substances and on the employment situation.ObjectivesShow the differences for the use of cocaine and employment status of men and women, in a sample of patients followed at the Mental Health Center in Drug Dependency Unit.Material and methodsWe conducted a cross-sectional study and analyze the differences according to sex for cocaine use and the employment situation, in a sample of patients who are undergoing treatment at the Mental Health Center for a year diagnosed with dual pathology.ResultsIn men in active employment status, the percentage of cocaine use is 19.5% and if we compare with women in the same job situation, the percentage of cocaine use is 0%.Men who are unemployed use more cocaine than women in the same job situation. For retirees, the highest percentage of cocaine is found in women.Hundred percent of women use cocaine by sniffing. Men use different ways of cocaine consume.Snorted way 67.7%, 14.9% smoked and snorted, smoked 8% and 2.3% intravenous.ConclusionMen use cocaine more frequently unemployed while women do more it often being retired.The route most used cocaine consume in both sexes is snorted.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Child and adolescent service and community mental health center: HoNOS findings in a joint take in charge model in Trieste

2017 ◽  
Vol 41 (S1) ◽  
pp. S438-S438
Author(s):  
A. Bignotto ◽  
D. Celona ◽  
E. Pascolo Fabrici ◽  
D. Garino
Keyword(s):  
Mental Health ◽  
Community Mental Health ◽  
Psychotic Disorders ◽  
Daily Life ◽  
Mental Health Center ◽  
Cognitive Disorders ◽  
Child And Adolescent ◽  
Icd 10 ◽  
Competing Interest ◽  
The Impact

IntroductionA collaboration between the Child and Adolescent Unit 2 (Badof-2) and Community Mental Health 2 (CMHC-2) started several years ago in order to have a joint take in charge of under 25 people presenting needs to either one of the services. A major focus has been put, in this period, on early psychotic onset.ObjectivesThe impact of schizophrenia and other psychotic disorders on daily life has been very well studied in clinical populations and in general ones, leaving some gaps on which are more heavily involved in the resulting disability. In this study, we have used the HoNOS scale, in the Italian validated version, in order to evaluate the single items.MethodsWe have enrolled all the under-30 people taken in charge by the two aforementioned services in the period 2013–2016 with a ICD-10 F20–F29 diagnosis, dividing them in two subgroups (′13–′14 and ′15–′16) in order to find if there was an impact of the prolonged time of take in charge. A HoNOS evaluation has been submitted to all the 21 people found.ResultsHoNOS scores of the first subgroup are generally lower than the ones of the second subgroup (median: 6 vs. 16.5). Self-harmness, cognitive disorders and post-psychotic depression have a heavier impact in daily life than the classic positive and negative symptomatology. Focusing on psychosocial recovery programs, this area has been partly marginally affected.ConclusionsThe two subgroups show different HoNOS scores, with lower ones in the ′13–′14 group. More studies on general population and covariates should be conducted.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Paliperidone palmitate could reduce the consumption of drugs of abuse in psychotic patients?

2016 ◽  
Vol 33 (S1) ◽  
pp. S386-S386
Author(s):  
A. Zangrando ◽  
F. Babici ◽  
E. Pascolo-Fabrici ◽  
A. Riolo
Keyword(s):  
Mental Health ◽  
Drugs Of Abuse ◽  
Mental Health Center ◽  
Paliperidone Palmitate ◽  
Addictive Behaviors ◽  
Hedonic Tone ◽  
Number Of Patients ◽  
Competing Interest ◽  
New Treatment ◽  
Chronic Use

IntroductionIt's not easy to choose between different antipsychotics in the treatment of patients with schizophrenia that use drugs of abuse both legal (alcohol, benzodiazepine, anticholinergics) and illicit (heroin, cannabis, cocaine). The use of substances is a powerful risk factor for poor outcome. From CATIE study, we know that the discontinuity is lower with Olanzapine but psychotic patients continue to take drugs of abuse despite medication. Probably, an important aspect is the anhedonia secondarily produced by neuroleptics.ObjectiveWe want to evaluate if Paliperidone Palmitate reduces addictive behaviors in a small group of psychotic patient who have agreed to recived injection after the switch from other antipsychotics.MethodWe have identified four individual with chronic use of drugs of abuse in a Mental Health Center. These subjects were abusing alcohol, cannabis, spice and benzodiazepine. We administered before new treatment and after 2 months the Snaith-Hamilton Pleasure Scale of Snaith et al. (1995) and the Leeds Dependence Questionaire of Raistrick et al. (1994).ResultsThe hedonic tone tends to improve and the addictive behavior decreased.ConclusionThe therapy with Paliperidone Palmitato is associated with a reduction of the addictive behaviors but we need studies with a larger number of patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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