Delusional (Paranoid) Disorders

1988 ◽  
Vol 33 (5) ◽  
pp. 399-404 ◽  
Author(s):  
Alistair Munro
Keyword(s):  
Effective Treatment ◽  
Psychotic Disorder ◽  
Mental Status ◽  
Affective Disorders ◽  
Paranoid Schizophrenia ◽  
History Taking ◽  
Appropriate Treatment ◽  
Inappropriate Treatment ◽  
Diagnostic Confusion ◽  
Mental Status Examination

The group of paranoid or delusional disorders, although not nearly as common as the mood and schizophrenic disorders, may be much more frequent than has usually been thought. DSM-III R has made a decisive step in recognizably defining at least one group of them. Interestingly, this change partly came about because the advent of an effective treatment helped to define that group more clearly. Nevertheless, DSM-III R's classification is too restrictive, and it was wrong to exclude the diagnosis of paraphrenia. Cases fitting this description will have to be consigned to the category of Psychotic Disorder NOS, which will inevitably be a grab-bag of mixed diagnoses. Also, DSM-III R does not emphasize the link between the delusional disorders and paranoid schizophrenia, and the somewhat less well defined overlap with affective disorders, both of which give rise to much diagnostic confusion and inappropriate treatment. Precise history taking and mental status examination and, above all, an up-to-date knowledge of their existence are essential to the recognition and appropriate treatment of the delusional disorders.

scholarly journals Case Report on Acute Transient Psychotic Disorder

2021 ◽  
pp. 86-91
Author(s):  
Achita Sawarkar ◽  
Rasika Shambharkar ◽  
Madhuri Shambharkar ◽  
Jaya Khandar ◽  
Prerna Sakharwade ◽  
...  
Keyword(s):  
Sleep Disturbance ◽  
Psychotic Disorder ◽  
Mental Status ◽  
Acute Stress ◽  
Auditory Hallucination ◽  
Speech Rate ◽  
Bipolar Affective Disorder ◽  
Psychiatric Ward ◽  
Adequate Treatment ◽  
Mental Status Examination

Introduction: Acute and Transient Psychotic disorder (ATPD) is defined by the ICD-10 as hallucinations, delusions, and/or senseless or nonsensical speech having an acute [1]. The distinguishing characteristic of ATPD is its abrupt onset. Second, there are characteristic symptoms present, and third, there is related acute stress [2]. Clinical Findings: Sleep disturbance, aggressiveness, muttering to self, irritability, irrelevant talks and loss of appétit, hearing of voices not heard by others, suspiciousness, increased talkativeness, increased energy and fearfulness. Mental Status Examination: Conscious, dressed appropriately, well groomed, standing, eye to eye contact initiated, non cooperative, activity normal, and the mood is exhausted, frustrated, the affect is irritable, guarded, and the flow of speech rate is rapid with moderate volume and responsive quality, Thought-flight of thoughts is evident, as are perceptual abnormalities- auditory hallucination, impaired social judgment, and full denial of sickness. Outcome: After treatment, the patient shows improvement. Irritability has reduced, sleeping pattern is improved, self muttering has stopped, irrelevant talks are less, and aggressiveness is reduced. Conclusion:  Patient  was  admitted  to  Psychiatric  Ward  with  a  known  case of Bipolar Affective Disorder and after Mental Status Examination he is diagnosed as Acute Transient Psychotic Disorder with complain of Sleep disturbance, aggressiveness, muttering to self, irritability, irrelevant talks. He improved after receiving adequate treatment, and the treatment was continuously ongoing until my last date of care.

scholarly journals AN AYURVEDA CONCEPTUAL STUDY ON EIGHT DOMAINS IN THE ASSESSMENT OF MIND

2021 ◽  
Vol 9 (12) ◽  
pp. 3049-3054
Author(s):  
Dhaneshwari H. A ◽  
Suhas Kumar Shetty
Keyword(s):  
Psychiatric Disorder ◽  
Psychiatric Disorders ◽  
Mental Status ◽  
History Taking ◽  
Psychosomatic Disorders ◽  
Examination Techniques ◽  
Mental Status Examination ◽  
Thinking Process ◽  
Conceptual Study ◽  
Psychiatry Disorders

History taking, clinical examinations play a major role in confirming the diagnosis and predicting the prognosis of the illness. This is applicable in psychiatric as well as psychosomatic disorders. Sometimes organic diseases may simulate the presentation of psychiatric disorders and vice versa. Many types of examination techniques are ex- plained in Ayurveda which help directly or indirectly to elicit and diagnose psychiatry disorders. Astavibhrama, impairment in eight domains of mental faculties - thinking process (Mano vibhrama), intellect (Buddhi vibhrama), consciousness and orientation (Sanjnajnana vibhrama), memory (smriti vibhrama), desire or interest (Bhakti vibhrama), temperaments (sheela vibhrama), behaviour (chesta vibhrama), conduct (achara vibhrama); a concept adopted for the diagnosis of unmada (insanity). These eight domains can be generalised for eliciting the mental status of an individual. Keywords: Astavibhrama, Mental status examination, Psychiatric disorder

A method for quantifying a mental status examination

2013 ◽  
Author(s):  
R. C. Spaulding ◽  
M. Richlin ◽  
J. D. Phelan
Keyword(s):  
Mental Status ◽  
Mental Status Examination

Neurosarcoidosis Presenting as Schizophreniform Disorder

1992 ◽  
Vol 22 (3) ◽  
pp. 269-274 ◽  
Author(s):  
Mohamed Sabaawi ◽  
Jose Gutierrez-Nunez ◽  
M. Richard Fragala
Keyword(s):  
Cognitive Decline ◽  
Mental Status ◽  
Clinical Presentation ◽  
Psychiatric Symptoms ◽  
Steroid Treatment ◽  
Schizophreniform Disorder ◽  
Schizophrenic Psychosis ◽  
Neurologic Involvement ◽  
Mental Status Examination ◽  
Psychiatric Manifestations

A patient whose clinical presentation met criteria for schizophreniform disorder was ultimately found to have neurosarcoidosis, and the psychiatric symptoms responded to steroid treatment. The ongoing search for organic etiology was prompted by the presence of cognitive decline, perseveration and rare bizarre automatisms. This is virtually the first reported association between schizophreniform disorder and sarcoidosis. We reviewed the literature on neurologic involvement and psychiatric manifestations in sarcoidosis as well as the concurrence between organicity and schizophrenic psychosis. The importance of attending to all elements of the mental status examination in a patient with complex atypical findings is underscored.

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