Clinical profile, treatment received, follow up and current status of individuals treated for delusional disorder at a tertiary care centre

Abstract

Background Delusional disorder presents with a stable and well-defined delusional system. Many are unwilling to accept that they have a mental disorder or that they require psychiatric treatment. The condition responds to treatment in most cases. This study aims to assess the clinical profile, treatment pattern and response to it, frequency of follow-up and current status of patients previously diagnosed as delusional disorder. Method The case records of all patients who had come to Psychiatry OPD for 3 years with diagnosis of Delusional Disorder according to ICD 10 criteria were taken and data collected. Forty eight patients were enrolled for the study. The current status was assessed from relatives through telephone calls. Results The sample consisted more of males, majority were married. The most common delusion was infidelity followed by persecution. Co-morbidity was present in 43.8% of subjects. Best response was with risperidone. At follow up, all were reported to be doing a job or engaging in household work and majority maintained improvement. Eight had delusions and six were troublesome. Less than half of responders were continuing their treatment. Conclusion Male preponderance and married status were noticeable. Delusion of infidelity was the most common. Delusional disorder has much co-morbidity. Non-compliance with treatment is common. But the level of functioning is found to be reasonably fair irrespective of the treatment status.