Abstract

Paranoid is the most common delusion in people living with schizophrenia spectrum disorders which are present in about half of all people seeking treatment for a psychotic disorder. Schizophrenia is a persistent mental illness characterized by a wide range of symptoms, including delusions, hallucinations, disorganized speech or behavior, and cognitive impairment. Capgras syndrome is a form of the delusional belief in which a person has been replaced by an imposter. It can be seen in mental disorders as well as in central nervous system diseases in the form of neurodegenerative and non- neurodegenerative diseases The Capgras Syndrome is not an unusual condition, but an infrequent one which is possibly often unnoticed. A 48- years- old woman was admitted in female psychiatric ward with known case of paranoid schizophrenia with capgras syndrome. In the present case, the treatment approach was mainly somatic therapy i.e. psychopharmacotherapy, Electro convulsive Therapy (ECT) and psychological therapy. Psychiatric nurses have to play an important role to identify the symptoms and they should think critically, take action immediately to provide care to such type of patients.

Highlights

  • In 1923, Joseph Capgras, a French psychiatrist, coined the term "Capgras syndrome" in his paper co-authored by Jean Reboul-Lachaux, based on the case of "Madame Macabre," a French woman who claimed that matching "doubles" had taken the positions of her husband and other individuals she knew

  • Capgras syndrome is thought to be an uncommon occurrence that was first linked to psychiatric disorders such as paranoid schizophrenia and schizoaffective disorder

  • Capgras syndrome is a delusional state in which an individual feels that generally a family member or acquaintance, believes that they're being substituted by an imposter

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Summary

INTRODUCTION

In 1923, Joseph Capgras, a French psychiatrist, coined the term "Capgras syndrome" in his paper co-authored by Jean Reboul-Lachaux, based on the case of "Madame Macabre," a French woman who claimed that matching "doubles" had taken the positions of her husband and other individuals she knew. The condition was first named as "l'illusion des sosies" by Capgras and Reboul-Lachaux, which means "the illusion of look-alikes." [1]. The belief that a person, typically a close relative, has been replaced by an impostor is characterized by recurring and transitory (varying from minutes to months) delusion. Capgras syndrome is thought to be an uncommon occurrence that was first linked to psychiatric disorders such as paranoid schizophrenia and schizoaffective disorder. Capgras syndrome has lately been documented in neurological diseases such as epilepsy, cerebrovascular disease, head trauma, pituitary tumor, mainly in neurodegenerative diseases such as Alzheimer disease and Lewy body disease [1]

CASE PRESENTATION
DISCUSSION
CONCLUSION
Schizophrenia
Findings
Paranoid Schizophrenia
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