delusion

Microteaching Slides for the intoduction and Basics

1. DELUSION DELUSIONS

2. 2 Definition: “ Delusion is a false, unshakeable belief that is out of keeping with the patient’s social and cultural background ” The belief is not one ordinarily accepted by other members of the person's culture or subculture .

3. Delusions are categorized as either bizarre or non-bizarre and as either mood-congruent or mood-neutral

4. BIZARRE V/S NON-BIZARRE A bizarre delusion is a delusion that is very strange and completely implausible ; Eg: aliens have removed the affected person's brain . A non-bizarre delusion is one whose content is definitely mistaken, but is at least possible . Eg: the affected person mistakenly believes he or she is under constant police surveillance . 4

5. MOOD CONGRUENT V/S NEUTRAL Delusion whose content is consistent with either a depressive or manic state . Eg: a depressed person may believe that news anchors on the TV highly disapprove of him or her A mood-neutral delusion does not relate to the sufferer's emotional state . Eg: a belief that an extra limb is growing out of the back of one's head is neutral to either depression or mania. 5

6. COMMON THEMES OF DELUSION Persecutory type Jealous type Erotomanic type Somatic type Grandiose type Mixed type 6

7. Persecutory type 7 People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them

8. Jealous Type 8  A person with this type of delusional disorder has jealousy, which is false Ex: believes that his or her spouse or sexual partner is unfaithful.

9. Erotomanic type   Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon. 9

10. Somatic type  A person with this type of delusional disorder believes that he or she has a physical defect or medical problem. 10

11. Grandiose type 11   A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity . The person might believe he or she has a great talent or has made an important discovery .

12. Mixed type 12   People with this type of delusional disorder have two or more of the types of delusions listed above.

13. Some of the psychiatric disorders with delusion

14. 14 Mental Disorder Comment Delusional Disorder Delusions only. No other prominent additional symptoms. Persecution forms Schizophrenia including persecutory and bizarre. accompanied by at least some other symptoms such as hallucinations, problems with logical thought or self-neglect. Bipolar Disorder (mania) associated with undue confidence, elation and over activity, rapid speech. Grandiose ideas

15. 15 “depression ” Uncommon . Delusions consistent with low mood. Contents may include terminal illness, loss of assets or unfounded guilt. Substance Abuse Disorder Usually persecutory Organic Mental Disorder Variable presentations depending on the pathology. 10% of people with Parkinson disease . Anorexia nervosa AN patients may have fears of weight gain which reach delusional proportions

16. Conclusion Delusion is a false belief Types Subjective feeling to the person . 16

17. References A short textbook of psychiatry : Niraj Ahuja Psychiatry – Tasman, Kay and Lieberman Synopsis of Psychiatry – Kaplan and Sodock 17

18. 18

19. THANKYOU