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Psychotic Disorder

Delusional Disorder

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-VI) a delusional disorder involves situations that occur in real life and the symptoms for Schizophrenia are not present. Despite these delusions there is no marked impairment of behavior and does not seem odd or bizarre. People with a delusional disorder may also experience tactile or olfactory hallucinations.

A delusional disorder will be diagnosed if the delusions happen at the same time as a hypomania or depressive episode and if the delusions do not occur as a result of drug abuse, use of medication or general medical condition.

A psychiatrist will determine which sub-type of delusions experienced depending upon there theme

Erotomanic Type: when someone of a higher status is believed to be in love with them

Grandiose Type: when they have an inflated self worth, power, knowledge, identity or special relationship with a deity or famous person

Jealous Type: when they believe that their sexual partner is unfaithful

Persecutory Type: when they believe that they, or someone they are close to is being malevolently treated in some way.

Somatic Type: when they believe they have some physical defect or other medical condition.

Mixed Type: when there is a combination of two more of the above delusions.

Brief Psychotic Disorder

To diagnose a Brief Psychotic Disorder symptoms of delusions, as described above, hallucinations, incoherent speech or catatonic behavior, one or more must be present According to the DSM-VI, a brief episode is defined as lasting for at least a day but not more than a month.

If the symptoms are better described as a mood disorder with psychosis, schizoaffective disorder, schizophrenia and is not due to use of drugs or other medical condition, Brief Psychotic Disorder will not be diagnosed.

Substance-Induced Psychotic Disorder

This psychotic disorder is caused by, induced, by the use of a substance, alcohol or drugs and the symptoms are not present when the substance is not present. According to the DSM IV symptoms include prominent hallucinations or delusions, the symptoms began within a month of the substance use or withdrawal. If no other delusional, psychotic or mood disorders can be diagnosed in addition to the use of the specific substance this disorder will be diagnosed.

Submitted by Tanya P.

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