Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Case Report Volume 6 Issue 6

Delusional Disorder in Patient with Comorbid Depression

Samridh Gupta and Addie Billington*

Department of UIC-Rockford, University of Illinois College of Medicine-Rockford, USA

*Corresponding Author: Addie Billington, Department of UIC-Rockford, University of Illinois College of Medicine-Rockford, USA.

Received: March 13, 2023; Published: May 20, 2023


Delusional disorder is defined in the DSM-5 as the presence of one or more delusions for a month or longer in a person who, except for the delusions and their behavioral ramifications, does not appear odd and is not functionally impaired. A 67-year-old male with no past psychiatric history presented to the emergency department for anxiety, paranoia, and insomnia for the past 9 months. His behavior change began after the pipes in his house burst, and he said he saw blue dust all over his house. Since then, he endorsed a multitude of physical symptoms, as well as an obsession with the dust in his house and thoughts of being poisoned. He also described hallucinations of Jesus arguing with God. He also endorsed suicidal ideation. After being admitted to the psychiatry unit, he was diagnosed with MDD with psychotic features. He was discharged home with Seroquel and mirtazapine. One month later, he presented to the ED for the same hallucinations and SI. After failure of various antipsychotic medications, the diagnosis of Delusional Disorder was made, and he was started on CBT.

Keywords: Delusional Disorder; Major Depressive Disorder; Generalized Anxiety Disorder; Paranoia; Insomnia; Cognitive Behavior Therapy


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Citation: Samridh Gupta and Addie Billington. “Delusional Disorder in Patient with Comorbid Depression". Acta Scientific Neurology 6.6 (2023): 25-27.


Copyright: © 2023 Samridh Gupta and Addie Billington. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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