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The Treatment of Monodelusional Psychosis Associated with Depression

Published online by Cambridge University Press:  02 January 2018

Simon Chiu
Affiliation:
McMaster University, Hamilton, Ontario, Canada L8N 3Z5
Allan H. McFarlane*
Affiliation:
McMaster University, Hamilton, Ontario, Canada L8N 3Z5
Nancy Dobson
Affiliation:
Inpatient Psychiatry Unit, Chedoke-McMaster Hospitals, McMaster Division, Hamilton, Ontario, Canada L8N 3Z5
*
*Correspondence

Abstract

This is a report of the treatment of four patients suffering from a syndrome consisting of a single delusion in association with depression. The tendency of monodelusional syndromes to respond to a pimozide provides a rationale for nosological organisation.

Type
Brief Reports
Copyright
Copyright © The Royal College of Psychiatrists 

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References

Akiskal, H. S., Arana, G. W., Baldessarini, R. J., et al (1983) A clinical report of thymoleptic-responsive atypical paranoid psychosis. American Journal of Psychiatry, 140, 11871190.Google Scholar
Brotman, A. W. & Jenike, M. A. (1984) Monosymptomatic hypochroniasis treated with tricyclic antidepressants. American Journal of Psychiatry, 141, 16081609.Google Scholar
Cherney, D. S., Woodman, W. K., Price, L. H., et al (1988) Serotonin function in obsessive compulsive disorder. Archives of General Psychiatry, 45, 177188.Google Scholar
Dorian, B. J. (1979) Monosymptomatic hypochondriacal psychosis (letter). Canadian Journal of Psychiatry, 24, 377.Google Scholar
Hathaway, S. R. & McKinley, J. C. (1969) Minnesota Multiphasic Personality Inventory: Manual for Administration and Scoring. New York: Psychological Corporation.Google Scholar
Insel, T. R. & Akiskal, H. S. (1986) Obsessive-compulsive disorder with psychotic features: a phenomenologic analysis. American Journal of Psychiatry, 143, 15271533.Google Scholar
Kenyon, F. E. (1976) Hypochondriacal states. British Journal of Psychiatry, 129, 114.Google Scholar
McFarland, A. R. (1953) Mechanical trauma. Archives of Dermatology and Syphilogy, 67, 273.Google Scholar
Munro, A. (1980) Monosymptomatic hypochondriacal psychosis. British Journal of Hospital Medicine, 24, 3438.Google Scholar
Munro, A. (1982) Paranoia revisited. British Journal of Psychiatry, 141, 344349.Google Scholar
Munro, A. (1988a) Delusional (paranoid) disorders: etiologic and taxonomic considerations. I. The possible significance of organic brain factors in the etiology of delusional disorders. Canadian Journal of Psychiatry, 33, 171174.Google Scholar
Munro, A. (1988b) Delusional (paranoid) disorders: etiologic and taxonomic considerations. II. Possible relationship between delusional and affective disorders. Canadian Journal of Psychiatry, 33, 175178.Google Scholar
Munro, A., O'Brien, J. & Ross, D. (1985) Two cases of “pure” or “primary” erotomania successfully treated with pimozide. Canadian Journal of Psychiatry, 30, 619622.Google Scholar
Reilly, T. M., Jopling, W. H. & Beard, A. W. (1978) Successful treatment with pimozide of delusional parasitosis. British Journal of Dermatology, 98, 457459.Google Scholar
Riding, J. & Munro, A. (1975) Pimozide in the treatment of monosymptomatic hypochondrical psychosis. Acta Psychiatrica Scandinavica, 52, 2330.Google Scholar
Ross, C. A., Siddiqui, A. R. & Matas, M. (1987) DSM–III: problems in diagnosis of paranoia and obsessive-compulsive disorder. Canadian Journal of Psychiatry, 32, 146148.Google Scholar
Taylor, P., Mahendra, B. & Gunn, J. (1983) Erotomania in males. Psychological Medicine, 13, 645650.Google Scholar
Watt, J. A. (1985) Hearing and premorbid personality in paranoid states. American Journal of Psychiatry, 142, 14531455.Google Scholar
Wilson, J. W. (1952) Delusion of parasitosis (acarophobia): further observations in clinical practice. Archives of Dermatology, 66, 577585.Google Scholar
Wilson, J. W. & Miller, H. E. (1946) Delusion of parasitosis (acarophobia). Archives of Dermatology and Syphilology, 54, 39.Google Scholar
Winokur, G. (1986) Classification of chronic psychoses including delusional disorders and schizophrenias. Psychopathology, 19, 3034.Google Scholar
Zoher, J., Insel, T. R., Zoher-Kadorch, R. C., et al (1988) Serotonergic responsivity in obsessive compulsive disorder. Archives of General Psychiatry, 45, 167176.Google Scholar
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