Makindo Medical Notes"One small step for man, one large step for Makindo" |
![]() |
---|---|
Download all this content in the Apps now Android App and Apple iPhone/Pad App | |
MEDICAL DISCLAIMER: The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis, or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd. |
Related Subjects: |Psychiatric Emergencies |Depression |Mania |Schizophrenia |Suicide |Acute Psychosis |Delusions |General Anxiety Disorder |Obsessive-Compulsive disorder |Wernicke Korsakoff Syndrome |Medically Unexplained symptoms |Postpartum/Postnatal Depression
Classification | Content / Example |
---|---|
🔪 Persecutory delusions | Belief that one is being harmed, threatened, cheated, harassed or conspired against. 📌 Most common type; typical in schizophrenia & delusional disorder. |
👑 Grandiose delusions | Belief of exceptional power, talent, or importance (e.g. “I am a king” / “I have mystical powers”). 📌 Seen in mania & psychosis. |
📺 Delusions of reference | Belief that neutral events/people refer specifically to oneself (e.g. TV presenter speaking about them). 📌 Schizophrenia hallmark. |
🙏 Religious delusions | False religious themes (e.g. “I am God’s chosen messenger”). Often grandiose. |
💌 Erotomania (Delusion of love) | Belief that another person is in love with them. 📌 De Clérambault syndrome: usually woman believes older/high-status man loves her. |
💔 Delusion of infidelity (Morbid jealousy, Othello syndrome) | Belief that partner is unfaithful. 📌 Important in forensic psychiatry due to risk of violence. |
🧑🤝🧑 Delusions of misidentification |
Capgras: Familiar person replaced by impostor.
Fregoli: Stranger is actually a familiar person in disguise. |
💀 Nihilistic delusions (Cotard syndrome) | Belief that self/others/world do not exist or world ending. 📌 Classically seen in severe depression with psychotic features. |
🩺 Somatic delusions | Belief concerning one’s body or health (e.g. “My intestines are rotting”). 📌 Also called hypochondriacal delusions. |
🐜 Delusions of infestation (Ekbom syndrome) | Belief of being infested with insects/parasites. 📌 Sometimes accompanied by tactile hallucinations (formication). |
🎮 Delusions of control (passivity / “made” experiences) |
Belief that one’s thoughts, feelings, or actions are controlled by external forces.
First-rank symptoms of schizophrenia:
– Thought insertion: thoughts implanted into one’s mind.
– Thought withdrawal: thoughts being taken away. – Thought broadcasting: others can hear one’s thoughts. |