MIXED FORMS OF DELIRIUM

The nonsense of staging. Patients are convinced that others are playing a special show for them. Combined with the delirium of intermetamorphosis, which is characterized by delusional forms of false recognition.

Symptom of a negative and positive double (Karp syndrome). When the symptom of a negative double, the patient takes close people for strangers.

Fregoli symptom-the patient feels that the same person appears to him in different reincarnations.

Delusions of self-accusation (convince that sinners).

Delirium megalomaniacal content-the patient believes that all of humanity suffers because of it. The patient is dangerous to himself, extended suicides are possible.

Nihilistic delusions (delusions of denial) – patients are convinced that they have no internal organs, there is no possibility of the safe functioning of organs, patients consider themselves living corpses.

Hypochondriacal delirium-patients are convinced that they have some physical disease.

The nonsense of physical disability (dysmorphogenesis nonsense) typical for adolescence. Patients are convinced that they have an external deformity. Behavioral disorders are very significant, combined with delusional attitudes and depression.

Delirium of jealousy, very persistent. Patients are socially dangerous. It is typical for elderly people, sometimes associated with the extinction of sexual function.

Rare variants of the content of delusional ideas.

Retrospective (introspective) delusions-delusions about a past life (for example, delusions of jealousy after the death of a spouse).

Residual delirium – observed in patients after coming out of psychosis, a state of altered consciousness. Delusional syndromes.

Paranoid syndrome – the presence of a monothematic primary systematized delusion. One theme is typical, usually delusions of persecution, jealousy, and invention. Delusions are primary, since delusions are not associated with hallucinatory experiences. Systematized, since the patient has a system of evidence that has its own logic.

Paranoid syndrome – delusions of various types, several variants of delusions (relationships, special meaning, persecution). The structure of this syndrome often includes perception disorders (hallucinatory-paranoid syndrome – delusional ideas are diverse, the content of the delusion is secondary, often determined by the content of hallucinations). The content of delusions changes dynamically.

Acute course (acute paranoid) is characteristic of schizoaffective psychoses, paroxysmal schizophrenia, organic brain diseases, intoxications.

Chronic course occurs in the paranoid form of schizophrenia, a frequent variant is the Gal-lucinator-paranoid syndrome of Kandinsky-clerambault.

Dysmorphogenesis syndrome. Delusions of external ugliness, delusions of attitude, depression.