Delusional disorder

Delusional disorder US Medical PG Question 1: A 55-year-old male was picked up by police in the public library for harassing the patrons and for public nudity. He displayed disorganized speech and believed that the books were the only way to his salvation. Identification was found on the man and his sister was called to provide more information. She described that he recently lost his house and got divorced within the same week although he seemed fine three days ago. The man was sedated with diazepam and chlorpromazine because he was very agitated. His labs returned normal and within three days, he appeared normal, had no recollection of the past several days, and discussed in detail how stressful the past two weeks of his life were. He was discharged the next day. Which of the following is the most appropriate diagnosis for this male?

• A. Brief psychotic disorder (Correct Answer)
• B. Schizotypal personality disorder
• C. Schizophreniform disorder
• D. Schizophrenia
• E. Schizoid personality disorder

Delusional disorder Explanation: ***Brief psychotic disorder*** - This patient exhibited characteristic symptoms such as **sudden onset of psychotic symptoms** (disorganized speech, delusions, public nudity) that lasted **less than one month** and were preceded by a **severe psychosocial stressor** (loss of house, divorce). - The **full return to premorbid functioning** and lack of recollection after the episode further support brief psychotic disorder, distinguishing it from other chronic psychotic disorders. *Schizotypal personality disorder* - Characterized by a pervasive pattern of **social and interpersonal deficits**, cognitive or perceptual distortions, and eccentricities of behavior, which are usually **long-standing** and not episodic. - While there may be odd beliefs or magical thinking, the dramatic and time-limited psychotic episode in the scenario is not typical of schizotypal personality disorder. *Schizophreniform disorder* - This disorder is diagnosed when psychotic symptoms (like those seen in schizophrenia) are present for **at least one month but less than six months**. - Although the patient presented with psychotic symptoms, their rapid resolution within three days makes a diagnosis of schizophreniform disorder unlikely. *Schizophrenia* - Requires continuous signs of disturbance for **at least six months**, including at least one month of active-phase symptoms, along with significant impairment in social or occupational functioning. - The rapid resolution of symptoms and return to baseline within days in this case immediately rules out schizophrenia, which is a chronic condition. *Schizoid personality disorder* - Characterized by a pervasive pattern of **detachment from social relationships** and a restricted range of expression of emotions in interpersonal settings. - This disorder does not involve psychotic symptoms, disorganized speech, or delusions of the intensity described in the patient's presentation.

Delusional disorder US Medical PG Question 2: A 45-year-old obese man is evaluated in a locked psychiatric facility. He was admitted to the unit after he was caught running through traffic naked while tearing out his hair. His urine toxicology screening was negative for illicit substances and after careful evaluation and additional history, provided by his parents, he was diagnosed with schizophrenia and was treated with aripiprazole. His symptoms did not improve after several dosage adjustments and he was placed on haloperidol, but this left him too lethargic and slow and he was placed on loxapine. After several dosage adjustments today, he is still quite confused. He describes giant spiders and robots that torture him in his room. He describes an incessant voice screaming at him to run away. He also strongly dislikes his current medication and would like to try something else. Which of the following is indicated in this patient?

• A. Haloperidol
• B. Olanzapine
• C. Chlorpromazine
• D. Fluphenazine
• E. Clozapine (Correct Answer)

Delusional disorder Explanation: ***Clozapine*** - This patient has **treatment-resistant schizophrenia**, indicated by a lack of response to multiple trials of antipsychotics, including aripiprazole (atypical), haloperidol (typical), and loxapine (atypical). - **Clozapine** is the only antipsychotic proven effective for treatment-resistant schizophrenia, significantly reducing psychotic symptoms and suicidality. *Haloperidol* - Haloperidol is a **first-generation antipsychotic** that the patient has already tried and found to be too sedating and slow. - Continuing with haloperidol would likely result in persistent side effects and inadequate symptom control given his prior negative experience. *Olanzapine* - Olanzapine is a **second-generation atypical antipsychotic**; however, it is not typically indicated as a first-line treatment for treatment-resistant schizophrenia after failure of multiple agents. - While effective for schizophrenia, it would be less effective than clozapine in a patient who has failed several previous antipsychotic trials. *Chlorpromazine* - Chlorpromazine is a **first-generation antipsychotic** that carries a higher risk of sedation, extrapyramidal symptoms, and anticholinergic side effects. - It is unlikely to be more effective than haloperidol, which the patient already found too sedating and slow, and would not be the preferred choice for treatment-resistant schizophrenia. *Fluphenazine* - Fluphenazine is a **first-generation antipsychotic** with potent dopamine D2 receptor blockade, often leading to significant extrapyramidal side effects. - Like other first-generation antipsychotics, it is not indicated as the next step for treatment-resistant schizophrenia after failure of multiple trials.

Delusional disorder US Medical PG Question 3: A 23-year-old man is brought to the emergency department by his girlfriend because of acute agitation and bizarre behavior. The girlfriend reports that, over the past 3 months, the patient has become withdrawn and stopped pursuing hobbies that he used to enjoy. One month ago, he lost his job because he stopped going to work. During this time, he has barely left his apartment because he believes that the FBI is spying on him and controlling his mind. He used to smoke marijuana occasionally in high school but quit 5 years ago. Physical and neurologic examinations show no abnormalities. On mental status examination, he is confused and suspicious with marked psychomotor agitation. His speech is disorganized and his affect is labile. Which of the following is the most likely diagnosis?

• A. Schizophreniform disorder (Correct Answer)
• B. Schizoid personality disorder
• C. Delusional disorder
• D. Schizoaffective disorder
• E. Brief psychotic disorder

Delusional disorder Explanation: **Correct: Schizophreniform disorder** - This patient presents with ***psychotic symptoms*** (delusions, disorganized speech, agitation) and ***negative symptoms*** (withdrawal, anhedonia, loss of job), which have been present for approximately ***3 months***. - The ***duration of symptoms (1-6 months)*** is the key differentiating factor for schizophreniform disorder compared to brief psychotic disorder (<1 month) or schizophrenia (>6 months). - Meets DSM-5 criteria: psychotic symptoms with functional impairment lasting between 1 and 6 months. *Incorrect: Schizoid personality disorder* - Characterized by a pervasive pattern of ***detachment from social relationships*** and a restricted range of emotional expression, which are ***ego-syntonic*** and typically stable over time. - This is a personality disorder with chronic traits, not an acute psychotic disorder. - Does not include acute psychotic symptoms like delusions or disorganized speech. *Incorrect: Delusional disorder* - Defined by the presence of ***non-bizarre delusions*** for at least one month, without other significant psychotic symptoms or major functional impairment. - This patient has ***bizarre delusions*** (FBI controlling his mind), ***disorganized speech***, ***psychomotor agitation***, and ***marked functional impairment***, which exceed the criteria for delusional disorder. *Incorrect: Schizoaffective disorder* - Requires the presence of a ***major mood episode*** (depressive or manic) concurrent with symptoms of schizophrenia, AND ***delusions or hallucinations for at least 2 weeks*** in the absence of a major mood episode. - While the patient exhibits labile affect, there is no evidence of a distinct, prolonged major mood episode (major depression or mania) as required for schizoaffective disorder. *Incorrect: Brief psychotic disorder* - Characterized by the sudden onset of psychotic symptoms (delusions, hallucinations, disorganized speech or behavior) that last for ***at least one day but less than one month***, followed by full return to premorbid functioning. - The patient's symptoms have been ongoing for approximately ***3 months***, which exceeds the duration criteria for brief psychotic disorder.

Delusional disorder US Medical PG Question 4: Two dizygotic twins present to the university clinic because they believe they are being poisoned through the school's cafeteria food. They have brought these concerns up in the past, but no other students or cafeteria staff support this belief. Both of them are average students with strong and weak subject areas as demonstrated by their course grade-books. They have no known medical conditions and are not known to abuse illicit substances. Which statement best describes the condition these patients have?

• A. A trial separation is likely to worsen symptoms.
• B. The disorder is its own disease entity in DSM-5.
• C. Antipsychotic medications are rarely beneficial.
• D. Can affect two or more closely related individuals. (Correct Answer)
• E. Cognitive behavioral therapy is a good first-line.

Delusional disorder Explanation: ***Can affect two or more closely related individuals.*** - The shared delusional belief in **folie à deux**, also known as **shared psychotic disorder**, typically occurs in two or more people who are closely associated. - In this case, the **dizygotic twins** sharing the same delusional belief about being poisoned from cafeteria food fits this pattern. *A trial separation is likely to worsen symptoms.* - **Separating the individuals** involved in **folie à deux** is often a crucial step in treatment, as it can help break the cycle of shared delusion and allow for individual therapy. - Separation typically IMPROVES rather than worsens symptoms by removing the reinforcement of the shared delusion. *The disorder is its own disease entity in DSM-5.* - In the **DSM-5**, **folie à deux** is no longer considered a separate diagnostic category. - Instead, it is classified under **Other Specified Schizophrenia Spectrum and Other Psychotic Disorder** or **Unspecified Schizophrenia Spectrum and Other Psychotic Disorder**, with the specific context of shared delusion noted. *Antipsychotic medications are rarely beneficial.* - **Antipsychotics** are actually commonly used in treating folie à deux, particularly for the **primary individual** who initially developed the delusion. - They can be an important component of treatment, often combined with separation and psychotherapy. *Cognitive behavioral therapy is a good first-line.* - **Cognitive Behavioral Therapy (CBT)** can be beneficial, particularly after separation, to help individuals challenge and reframe their delusional beliefs. - However, the **first-line intervention** for shared psychotic disorder is **separation of the involved individuals**, followed by individual therapy (which may include CBT) and medication as needed.

Delusional disorder US Medical PG Question 5: A 22-year-old man is brought to the emergency department by his father because he is having bizarre thoughts. The patient says that he is being haunted by aliens from outer space. The father is worried as his son has had these symptoms for the past 7 months and lately, it seems to be getting worse. He has become more self-obsessed and does not seem to have any interest in his favorite activities. He has no plans to harm himself or others but spends a lot of time and energy building ‘defenses’ in and around his room as he is absolutely sure that aliens will come to get him soon. His blood pressure is 121/79 mm Hg, pulse 86/min, respiratory rate 15/min, temperature 36.8°C (98.2°F). Which of the following is correct regarding the patient’s symptoms?

• A. It would benefit from psychosurgery.
• B. He has a fixed false belief. (Correct Answer)
• C. It is best treated with cognitive behavioral therapy alone.
• D. It is a negative symptom.
• E. It falls under the disorganized thinking domain.

Delusional disorder Explanation: ***He has a fixed false belief.*** - The patient's conviction that he is being haunted by aliens, despite evidence to the contrary and the distress it causes, constitutes a **delusion**. - A delusion is by definition a **fixed, false belief** that is not in keeping with the individual's cultural background. *It would benefit from psychosurgery.* - Psychosurgery, such as lobotomy, is an extreme and rarely used intervention for **severe, refractory mental disorders**, typically only after all other treatments have failed and with significant ethical considerations. - While the patient's symptoms are impairing, **first-line treatments** for psychotic disorders involve antipsychotic medications and psychotherapy, not psychosurgery. *It is best treated with cognitive behavioral therapy alone.* - While CBT for psychosis (CBTp) can be a useful **adjunct** in managing delusions and reducing distress, it is **not sufficient as monotherapy** for active, severe psychotic symptoms. - The primary intervention for profound delusions like those described is **antipsychotic medication**, with CBT added as an adjunctive treatment to help improve functioning and coping. - CBT alone would be inadequate for someone with such fixed, impairing delusions actively building defenses against perceived threats. *It is a negative symptom.* - Negative symptoms of psychosis include features like **anhedonia** (lack of pleasure), **alogia** (poverty of speech), **avolition** (lack of motivation), and affective flattening. - The patient's bizarre belief in aliens is a **positive symptom** as it represents an *addition* to normal experience, rather than a *reduction* or *absence* of normal functions. - Note: The patient's decreased interest in activities suggests negative symptoms are also present, but the question asks about "the patient's symptoms" in context of the delusion described. *It falls under the disorganized thinking domain.* - Disorganized thinking or speech involves patterns like **loose associations, tangentiality, incoherence**, or word salad, where the logical connections between thoughts are lost. - While the content of the patient's thoughts is bizarre, the core issue described is the *belief itself* (a delusion, which is a **positive symptom**), rather than disordered *thought processes* or the way he expresses them.

Delusional disorder US Medical PG Question 6: A 34-year-old man presents to the behavioral health clinic for an evaluation after seeing animal-shaped clouds in the form of dogs, cats, and monkeys. The patient says that these symptoms have been present for more than 2 weeks. Past medical history is significant for simple partial seizures for which he takes valproate, but he has not had his medication adjusted in several years. His vital signs include: blood pressure of 124/76 mm Hg, heart rate of 98/min, respiratory rate of 12/min, and temperature of 37.1°C (98.8°F). On physical examination, the patient is alert and oriented to person, time, and place. Affect is not constricted or flat. Speech is of rapid rate and high volume. Pupils are equal and reactive bilaterally. The results of a urine drug screen are as follows: Alcohol positive Amphetamine negative Benzodiazepine negative Cocaine positive GHB negative Ketamine negative LSD negative Marijuana negative Opioids negative PCP negative Which of the following is the most likely diagnosis in this patient?

• A. Delusion
• B. Alcohol withdrawal
• C. Visual hallucination
• D. Cocaine intoxication
• E. Illusion (Correct Answer)

Delusional disorder Explanation: ***Illusion*** - The patient is seeing **animal shapes in the clouds**, which is a misinterpretation of a real external stimulus. This is the definition of an **illusion**. - Unlike hallucinations, illusions involve a distorted perception of an existing object, rather than perceiving something that is not present. *Delusion* - A **delusion** is a **fixed, false belief** that is not amenable to change in light of conflicting evidence, and it is not what is being described here. - The patient is experiencing a perceptual distortion, not a false belief system. *Alcohol withdrawal* - While the patient tests positive for alcohol, the symptoms described are **perceptual distortions** (misinterpretation of clouds), not typical signs of alcohol withdrawal which include tremors, seizures, and delirium tremens. - The timeline of "more than 2 weeks" also makes acute alcohol withdrawal less likely, as withdrawal symptoms typically peak within days. *Visual hallucination* - A **hallucination** is a perception in the absence of an external stimulus; the patient would be seeing animals when no clouds (or other visual stimuli) are present. - The patient is seeing animal shapes *in the clouds*, indicating an existing external stimulus that is being misinterpreted. *Cocaine intoxication* - While cocaine intoxication can cause psychiatric symptoms like paranoia and hallucinations, the specific description of **seeing animal shapes in clouds** (misinterpretation of a real stimulus) points more directly to an illusion rather than a primary effect of cocaine use. - The patient's presentation does not include other common symptoms of acute cocaine intoxication like severe agitation, dilated pupils, or hyperthermia beyond a rapid heart rate.

Delusional disorder US Medical PG Question 7: A 24-year-old woman is brought to the hospital by her mother because she has "not been herself" for the past 3 months. The patient says she hears voices in her head. The mother said that when she is talking to her daughter she can’t seem to make out what she is saying; it is as if her thoughts are disorganized. When talking with the patient, you notice a lack of energy and an apathetic affect. Which of the following is the most likely diagnosis for this patient?

• A. Major depressive disorder
• B. Schizophrenia
• C. Brief psychotic disorder
• D. Schizotypal disorder
• E. Schizophreniform disorder (Correct Answer)

Delusional disorder Explanation: ***Schizophreniform disorder*** - The patient exhibits core **psychotic symptoms** (hearing voices, disorganized thoughts) for a duration of **3 months**, which is characteristic of schizophreniform disorder (symptoms lasting **1 to 6 months**). - Her **lack of energy** and **apathetic affect** align with the negative symptoms commonly seen in psychotic disorders. *Major depressive disorder* - While **lack of energy** and **apathetic affect** can be present, the prominent **hallucinations** (hearing voices) and **disorganized thoughts** are not primary features of major depressive disorder. - A diagnosis of depression alone would not fully account for her psychotic symptoms. *Schizophrenia* - Schizophrenia requires symptoms to be present for **at least 6 months**, including at least one month of **active phase symptoms**. This patient's symptoms have only been present for 3 months. - While the symptoms are consistent with schizophrenia, the **duration criterion** has not yet been met. *Brief psychotic disorder* - Brief psychotic disorder is characterized by psychotic symptoms lasting **less than 1 month**. This patient's symptoms have been ongoing for 3 months. - The chronicity of symptoms makes this diagnosis unlikely. *Schizotypal disorder* - Schizotypal disorder is a **personality disorder** characterized by peculiar thoughts and behaviors, but typically **without overt psychotic episodes** or pronounced disorganized speech/hallucinations as described. - While there may be odd beliefs or ideas of reference, the clear **auditory hallucinations** and **thought disorder** in this case point to a more severe psychotic condition.

Delusional disorder US Medical PG Question 8: A 20-year-old man comes to the physician because of decreasing academic performance at his college for the past 6 months. He reports a persistent fear of “catching germs” from his fellow students and of contracting a deadly disease. He finds it increasingly difficult to attend classes. He avoids handshakes and close contact with other people. He states that when he tries to think of something else, the fears “keep returning” and that he has to wash himself for at least an hour when he returns home after going outside. Afterwards he cleans the shower and has to apply disinfectant to his body and to the bathroom. He does not drink alcohol. He used to smoke cannabis but stopped one year ago. His vital signs are within normal limits. He appears anxious. On mental status examination, he is oriented to person, place, and time. In addition to starting an SSRI, which of the following is the most appropriate next step in management?

• A. Cognitive-behavioral therapy (Correct Answer)
• B. Psychodynamic psychotherapy
• C. Motivational interviewing
• D. Interpersonal therapy
• E. Group therapy

Delusional disorder Explanation: **Cognitive-behavioral therapy** - **Cognitive-behavioral therapy (CBT)**, specifically **Exposure and Response Prevention (ERP)**, is the most effective psychotherapy for **obsessive-compulsive disorder (OCD)**, which this patient's symptoms strongly suggest. - CBT helps patients challenge distorted thoughts and gradually expose themselves to feared situations while preventing compulsive rituals, thus breaking the cycle of obsessions and compulsions. *Psychodynamic psychotherapy* - This therapy focuses on **unconscious conflicts** and **past experiences** to understand current symptoms. - While it can be helpful for some mental health conditions, it is generally **less effective** than CBT for the specific, highly ritualized symptoms of OCD. *Motivational interviewing* - **Motivational interviewing** is a patient-centered counseling style designed to address **ambivalence about change** and enhance intrinsic motivation. - It is often used in substance abuse or lifestyle changes, but it does not directly teach coping skills for OCD symptoms or address the underlying thought patterns. *Interpersonal therapy* - **Interpersonal therapy (IPT)** focuses on the patient's **current interpersonal relationships** and social functioning. - While social difficulties can arise from OCD, IPT does not directly target the obsessions and compulsions that are central to the disorder. *Group therapy* - **Group therapy** can provide support and a sense of community, but for a severe condition like OCD, **individual therapy** (especially CBT/ERP) is typically recommended first due to the highly individualized nature of obsessions and compulsions. - It may be a complementary approach, but usually not the most appropriate initial next step given the intensity of the patient's symptoms.

Delusional disorder US Medical PG Question 9: A 79-year-old woman who lives alone is brought to the emergency department by her neighbor because of worsening confusion over the last 2 days. Due to her level of confusion, she is unable to answer questions appropriately. She has had type 2 diabetes mellitus for 29 years for which she takes metformin. Vital signs include: blood pressure 111/72 mm Hg, temperature 38.5°C (101.3°F), and pulse 100/min. Her fingerstick blood glucose is 210 mg/dL. On physical examination, she is not oriented to time or place and mistakes the nursing assistant for her cousin. Laboratory results are shown: Hemoglobin 13 g/dL Leukocyte count 16,000/mm3 Segmented neutrophils 70% Eosinophils 1% Basophils 0.3% Lymphocytes 25% Monocytes 4% Which of the following is the most likely diagnosis?

• A. Brief psychotic disorder
• B. Alzheimer's dementia
• C. Delirium (Correct Answer)
• D. Depression
• E. Delusional disorder

Delusional disorder Explanation: **Delirium** - The patient presents with **acute-onset confusion**, **disorientation** to time and place, and **misidentification of individuals**, all fluctuating symptoms characteristic of delirium. - The presence of **fever** (38.5°C), **leukocytosis** (16,000/mm³ with neutrophilia), and **hyperglycemia** (210 mg/dL) suggests an underlying acute medical condition (e.g., infection) as a precipitating factor for delirium in a vulnerable elderly patient with diabetes. *Brief psychotic disorder* - This disorder is characterized by the sudden onset of **psychotic symptoms** (e.g., delusions, hallucinations, disorganized speech) lasting less than 1 month, but it is not typically associated with an acute medical illness or systemic signs like fever and leukocytosis. - While the patient exhibits confusion, the clinical picture points more strongly to an acute organic cause rather than a primary psychiatric disorder. *Alzheimer's dementia* - Alzheimer's dementia typically manifests as a **gradual, progressive decline** in cognitive function over months to years, not an acute change in mental status over 2 days. - Although advanced dementia can present with confusion and disorientation, the acute onset, fluctuating nature, and signs of an underlying infection make delirium more likely. *Depression* - Depression in the elderly can sometimes cause **cognitive slowing** or **"pseudodementia,"** but it does not typically present with acute disorientation, fever, or leukocytosis. - The patient's presentation is more consistent with an acute confusional state rather than altered mood or anhedonia associated with depression. *Delusional disorder* - Delusional disorder involves **persistent, non-bizarre delusions** without other prominent psychotic symptoms or significant impairment in functioning, typically developing over a longer period. - The patient's global confusion, disorientation, and acute medical signs are inconsistent with a primary delusional disorder.

Delusional disorder US Medical PG Question 10: A 16-year-old boy is brought in to a psychiatrist's office by his mother for increasingly concerning erratic behavior. Her son has recently entered a new relationship, and he constantly voices beliefs that his girlfriend is cheating on him. He ended his last relationship after voicing the same beliefs about his last partner. During the visit, the patient reports that these beliefs are justified, since everyone at school is “out to get him.” He says that even his teachers are against him, based on their criticism of his schoolwork. His mother adds that her son has always held grudges against people and has always taken comments very personally. The patient has no psychiatric history and is in otherwise good health. What condition is this patient genetically predisposed for?

• A. Antisocial personality disorder
• B. Major depressive disorder
• C. Narcolepsy
• D. Substance use disorder
• E. Schizophrenia (Correct Answer)

Delusional disorder Explanation: ***Schizophrenia*** - The patient's symptoms of **pervasive distrust**, **suspiciousness**, beliefs that others are "out to get him," and taking comments personally are characteristic of **paranoid personality disorder**. - **Paranoid personality disorder (PPD)** is considered part of the **schizotypal spectrum** or **cluster A personality disorders**, and individuals with PPD have a higher genetic predisposition to develop **schizophrenia** and other psychotic disorders. *Antisocial personality disorder* - This disorder is characterized by **disregard for and violation of the rights of others**, impulsivity, and lack of remorse, which are not the primary features described here. - While individuals with this disorder may exhibit manipulative behavior, their core issue is not paranoid ideation but rather a pattern of social irresponsibility and law-breaking. *Major depressive disorder* - This condition is characterized by **persistent sadness**, loss of interest or pleasure, and other vegetative symptoms, which are not present in this patient's presentation. - The patient's primary symptoms revolve around **paranoia and suspiciousness**, not mood disturbances. *Narcolepsy* - Narcolepsy is a **neurological condition** characterized by overwhelming daytime sleepiness and sudden attacks of sleep. - This diagnosis is entirely unrelated to the patient's psychological symptoms of paranoia and distrust. *Substance use disorder* - While substance use can sometimes induce paranoid thinking, the patient's long-standing history of **grudges** and taking comments personally, even prior to potential substance exposure (implied by no psychiatric history mentioned for substance abuse), suggests a more ingrained personality trait rather than solely substance-induced paranoia. - There is **no information provided about substance use**, making this a less likely primary condition or genetic predisposition.

Delusional disorder Flashcard 1 of 7

Question: Do the complaints associated with malingering cease after the desired gain? _____

Answer: Yes

Delusional disorder Flashcard 2 of 7

Question: _____ disorder is a preoccupation with a minor or imagined defect in appearance, causing significant emotional distress or impaired functioning

Answer: Body dysmorphic

Extra Information:   https://onlinemeded.org/spa/psychiatry/anxiety-disorders/acquire?ref=anki  

Delusional disorder Flashcard 3 of 7

Question: Delusion(s) lasting _____ and otherwise normal functioning is suggestive of _____

Answer: > 1 month

Extra Information:  https://onlinemeded.org/spa/psychiatry?ref=anki 

Delusional disorder Flashcard 4 of 7

Question: “The neighbors are spying on me by reading my mail.” = _____ delusion

Answer: non-bizarre

Extra Information:  https://onlinemeded.org/spa/psychiatry/psychotic-disorders/acquire?ref=anki 

Delusional disorder Flashcard 5 of 7

Question: Belief that a (famous) person loves you = _____

Answer: erotomanic delusion

Extra Information:  https://onlinemeded.org/spa/psychiatry/psychotic-disorders/acquire?ref=anki 

Delusional disorder Flashcard 6 of 7

Question: Delusion disorder typically presents with _____ delusions

Answer: non-bizarre ((bizarre or non-bizarre))

Delusional disorder Flashcard 7 of 7

Question: Delusions can be shared by individuals in close relationships; termed _____

Answer: folie a deux