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A 45-year-old man was admitted to a psychiatric hospital due to hallucinations and beliefs of a conspiracy against him. While hospitalized, he began insisting his wife had been replaced by an imposter. A 41-year-old secretary developed feelings for a married coworker, becoming convinced he was sending her secret signals and planned to leave his family for her. A 50-year-old man grew paranoid of his wife's infidelity, scrutinizing her behavior and belongings for evidence.
A 45-year-old man was admitted to a psychiatric hospital due to hallucinations and beliefs of a conspiracy against him. While hospitalized, he began insisting his wife had been replaced by an imposter. A 41-year-old secretary developed feelings for a married coworker, becoming convinced he was sending her secret signals and planned to leave his family for her. A 50-year-old man grew paranoid of his wife's infidelity, scrutinizing her behavior and belongings for evidence.
A 45-year-old man was admitted to a psychiatric hospital due to hallucinations and beliefs of a conspiracy against him. While hospitalized, he began insisting his wife had been replaced by an imposter. A 41-year-old secretary developed feelings for a married coworker, becoming convinced he was sending her secret signals and planned to leave his family for her. A 50-year-old man grew paranoid of his wife's infidelity, scrutinizing her behavior and belongings for evidence.
psychiatric hospital because of a psychotic illness: he had been hallucinating and believed there was a conspiracy against him.
While in hospital, he began to protest that his
wife of twenty years, who visited him, is not my wife but a double, adding something has happened to her: she has been replaced. I love my wife very much but not that woman double
What is this condition?
Is it a common condition?
What are the psychiatric disorders
associated?
Case
study 6 - psychosis
A 41 year old single woman who worked as
a secretary in a law firm suddenly developed amorous feelings for a married, highly respected solicitor who worked in a neighbouring firm.
She became convinced that whenever he
passed the window of the office in which she worked, he sent her private and secret signals indicating that he was in love with her.
She knew that he was planning to leave his
wife and children in order to set up home with her.
Over time she plagued him, sending
sexually explicit letters to his office, and on one occasion turned up at his home and confronted him in front of his wife.
What is this condition?
Case
study 7 - psychosis
A 50 year old man developed a belief that
his wife was unfaithful after she had been out alone with friends on a day trip. He knew that she had developed a relationship with a friendly neighbour.
He detected evidence of the liaison in the
form of subtle changes in her demeanour when she returned from shopping trips.
He went to great lengths to verify her
accounts of her shopping trips, for instance by checking that the bar codes on the goods she bought corresponded with the retail outlets which she claimed she had visited.
He checked her underwear for evidence of
sexual activity, and would spend hours questioning and badgering her in order to obtain a confession.
Case
study 8 - psychosis
Two sisters, Sarah aged 76 Susan aged 72
were both admitted to hospital as they said that their neighbours were trying to poison them by pumping gas into their home via the chimney.
Sarah had been diagnosed with paranoid
schizophrenia many years previously. Susan had previously been mentally healthy.
Case
study 8- psychosis
A woman aged 43 years was referred to mental
health services after she had first presented to a dermatologist.
She had complained of an itching sensation under
her skin, which she believed , was caused by small insects that had invaded her house two years previously.
She had gone to great lengths to sterilize and
fumigate her house, and she frequently bathed her skin with antiseptics purchased from a supermarket.
Case study 8 B Psychosis
A 70 year old man presented to the dermatology clinic
with a complaint of itching of his skin and small worms crawling out of his ears, nose and corners of his eyes.
He carried with him a small bottle into which he had
put some of the worms he had captured coming out of his body. He became angry when told that the bottle had just some skin scrapings.
When the doctor referred him to the psychiatric clinic,
he screamed at the doctor that he is not mental and stormed out of the dermatology clinic
This condition is called delusional parasitosis.
It is difficult to treat but some patients get some
relief with antipsychotics or/and antidepressants.
Most patients will not accept they have a psychiatric
condition and will not take psychiatric medications
The doctor has to be very tactful in handling these
patients and try to help them as they really suffer.