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Delusional ideas disorder is characterized by the appearance of a single delusional theme or a group of related ideas together, which normally are very persistent.
This, plus the fact that the definition of the disorder have been changing and that these patients rarely seek psychiatric help, makes it difficult to accurately assess their epidemiology, but it is estimated that delirious take between 1 and 4% of psychiatric entries and its prevalence in the general population is 0.03%.
Analyze the variables that influence the clinical evolution.
- Risk factors
- Protective Factors
Rate the treatments tested in Mental Health since the patient is diagnosed.
Analysis of the clinical history of the patient's mental health. Results-Case report
Male, 36, who was diagnosed with delusional disorder at the age of 21, after starring an episode of hetero-aggressiveness to objects.
From the beginning is characterized by delusional interpretations of referential character, gradually reaching a systematic structure delusional. Secondarily, this causes episodes of behaviour disorders with occasional psychomotor agitation, important social isolation and withdrawal, seriously affecting their daily functioning.
During a year, he required four hospitalizations for exacerbation of clinical psychotic delusional self-referential and prejudice delusional ideation, with intense feelings of hopelessness and suicidal ideation.
Since the possibilities of treatment of this disorder are limited by little or no disease awareness and that his delusions are usually highly structured, we find it important continue investigating the keys to achieving higher therapeutic adherence and successful social adaptation despite continue with chronic delusional ideation.
Concerns about the body and food are present in much of the population. Furthermore, alteration in eating behavior as a symptom may be part of the symptomatology of various clinical profiles. And, of course, is the main symptom of eating disorders.
One of the features offered by these tables is the high comorbidity posing with axis I disorders and Axis II. According to the literature, about half of women with ED experience anxiety disorders. Regarding affective disorders, between 20 and 80% developed at least one major depressive episode during their lifetime. Personality disorders are highly prevalent in this population, mainly the cluster B and C, linking the first and second BN with AN.
The overall goal of this work is to analyze the comorbidity of these diagnosis.
Our research is a descriptive analysis of a sample of 30 patients from the USMC-Huelva with different diagnoses of eating disorders.
The variables studied are:
- Main diagnosis
- No. of entries at Unit Mental Health Hospitalization
- Consultations in the Emergency Department
The results show that the majority of patients have been diagnosed with anorexia nervosa purging type. These patients, mostly, have another disorder, highlighting dependence disorders and / or substance abuse, anxiety disorders and personality disorders. In the sample studied, three of the subjects required hospitalization in Mental Health, and of these, only one was due solely to own principal diagnosis criteria (malnutrition).
The importance of a comprehensive approach that includes history of each patient and associated disorders.
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