Mental Status Exam
 
 

Delusions

 
 
 
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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.
 
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