Dilusional Disorder: The celotipic case

Celotypic delusional disorder

Abstract

Delusional disorder is a rare psychiatric disorder characterized by the presence of delusional ideas, such as the erotomaniac, persecution, celotype, greatness and somatic type. It has an insidious onset and tends to be chronic. Delusional disorder alters behavior, affecting the functionality of the individual and compromising their interpersonal relationships. The etiology is unknown, the diagnosis is made through the clinic based on the criteria of the DSM-V or ICD-10, and the treatment currently available provides a limited response. In general, patients do not recognize the disorder, do not seek medical attention, and have low adherence to treatment. In one clinical case, for example, a middle-aged man who presents a Celotypic Delusional Disorder directed at his wife gradually compromises the quality of his life and puts the family at vital risk; their response to the atypical antipsychotic was partial, but it improved family life considerably. This clinical case is important because this pathology is not very prevalent or well-understood by professionals in the health area or other related disciplines. There are also no media publications on the subject, so it is necessary to publicize these types of cases and provide information for an early diagnosis with timely treatment. Additional information can be used to improve the long-term prognosis and quality of the patient’s life, in addition to preventing criminal behavior with possible fatal outcomes.