| Abstract |
Charlie, a high school athlete, stumbles into the office on crutches. He is distressed at the persistent problem with his knee. Although multiple doctors have concluded they can find nothing physically wrong with his knee and there was no specific event that caused an injury, the pain continues to keep Charlie up at night and off the field. Charlie is desperate to play again. This is his senior year of high school and he is under pressure to get into college and obtain a sport's scholarship. This training title highlights the major symptoms of Delusional Disorder. Symptoms of Delusional Disorder may include: non-bizarre delusions (i.e., involving situations that occur in real life, such as being followed, poisoned, infected, loved at a distance, deceived by spouse or lover, or having a disease) of at least 1 month's duration. Criteria for Schizophrenia (hallucinations, delusions, disorganized speech, disorganized or catatonic behaviors, and negatives symptoms) must not be present. Note: Tactile and olfactory hallucinations may be present in Delusional Disorder if they are not prominent and are related to the delusional theme. Apart form the impact of the delusion(s) or its ramifications, functioning must not be not markedly impaired and behavior must not be obviously odd or bizarre. If mood episodes have occurred concurrently with delusions, their total duration must be brief relative to the duration of the delusional periods. The disturbance must not be due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition. Somatic Type: delusions that the person has some bodily malfunction or bodily sensation that does not actually exist. Examples include believing one emits foul odors, is infested with parasites, or has misshapen body parts. Note: if the delusion is about a general medical condition that is classified under Somatic Symptom and Related Disorders. |
