Delusions | Mental Status Exam - MedSchool
Sign up to start your free trial of MedSchool Premium!Get Started
 
Mental Status Exam
 
 
Appearance
Behaviour
Affect & Mood
Cognition
Speech
Thought
Perception
Insight & Judgement
 

Delusions

 
 
Bookmark

Overview

  • Rigidly held false beliefs not consistent with a person's background.
  • Grandiose delusions - of wealth / powerAcute mania
  • Hypochondriacal / somatic delusions - false convictions of fatal disease, infestations or degeneration of organsPsychosis, psychotic depression
  • Nihilistic delusions: feeling of not existing or having a body
  • Delusional perception: a normal perception followed by a delusional conclusionSchizophrenia
  • Delusions of infidelityPsychosis
  • Delusions of guilt and povertyPsychotic depression
  • Capgras's syndrome: the delusion that a significant person (e.g. spouse) has been replaced with an imposter
  • Erotomania: the delusion that a stranger (e.g. a celebrity) is in love with the patient
  • Do not attempt to challenge delusional ideas.
Last updated on November 7th, 2019
 
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------
 
 

Read More...

 Berrios GE. Stupor revisited. Compr Psychiatry. 1981;22:466-478. Chapman LJ. Distractibility in the conceptual performance of schizophrenics.The Journal of Abnormal and Social Psychology. 1956; 53(3): 286-291. Charlton MH. Visual Hallucinations. The Psychiatric Quarterly. 1963 July; 37(3): 490-498. Chorover SL, Schiller PH, Tenen SS. Retrograde Amnesia. Science. 1965 Sept; 149(3691): 1521. Coltheart M, Masterson J, Byng S, Prior M, Riddoch J. Surface Dyslexia. The Quarterly Journal of Experimental Psychology. 1983; 35(3): 469-495. Day RK. Psychomotor Agitation: Poorly Defined and Badly Measured. Journal of Affective Disorders. 1999 Oct; 55(2-3): 89-98. Dubois B, Litvan I. The FAB: A frontal assessment battery at bedside. Neurology. 2000; 55(11): 1621-1626. Ely EW, Truman B, Shintani A, Thomason JWW, Wheeler AP, Gordon S, et al. Monitoring sedation status over time in ICU patients: reliability and validity of the Richmond Agitation-Sedation Scale (RASS). JAMA. 2003 Jun. 11;289(22):2983-2991. Endicott J, Spitzer RL. A Diagnostic Interview: The Schedule for Affective Disorders and Schizophrenia. Arch Gen Psychiatry. 1978; 35(7): 837-844. Faber RA. The Neuropsychiatric Mental Status Examination. Semin Neurol. 2009; 29(3): 185-193.
Fish FJ, Caset PR, Kelly B. Fish's Clinical Psychopathology: Signs and Symptoms in Psychiatry. 2006, RCPsych Publications.
 Ford RA. The Psychopathology of Echophenomena. Psychological Medicine. 1989; 19: 627-635. Kaplan E, Goodglass H, Weintrab S. The Boston Naming Test. 1983. Philadelphia: Lea & Febiger. Lucchelli F, Spinnler H. The Psychogenic versus Organic Conundrum of Pure Retrograde: Amnesia: is it Still Worth Pursuing?. Cortex. 2002; 38: 665-669. Markowitsch HJ. Anterograde Amnesia. 2008; 88: 155-183. Payne RW, Caird WK. Reaction time, distractibility, and overinclusive thinking in psychotics.Jorunal of Abnormal Psychology. 1967; 72(2); 112-121.
Singh P. Hallucinations. 2010 Nov; 44.
 Smaga S. Tremor. American Family Physician. 2003 Oct; 68(8): 1545-1552. Smith JM, Alloy LB. A roadmap to rumination: a review of the definition, assessment, and conceptualization of this multifaceted construct. Clinical Psychology Review. 2009 March; 29(2): 116-128. Veale D. Over-Valued Ideas: A Conceptual Analysis. Behaviour Research and Therapy. 2002; 40: 383-400. Weiner MF, Hynan LS, Rossetti H, Falkowski J. Luria’s three-step test: what is it and what does it tell us? International Psychogeriatrics / Ipa. 2011;23(10):1602-1606. Whitehouse PJ, Patterson MB, Strauss ME, Gelmacher DS, Mack JL, Gilmore GC, Koss E. Hallucinations. International Psychogeriatrics. 1996; 8(S3): 387-392.
Yaryura-Tobias JA. An overview of delusions, obsessions and overvalued ideas. Clinical Neuropsychiatry. 2004; 1(1): 5-12.
Feedback