Abstract
Shared psychotic disorderis a rare psychiatric disorder. It is defined when a primary psychotic person imposes his/her delusional beliefs to the other person usually in a close relationship. Occurrence of this disorder among family members and close friends has been described. However, its exact incidence and prevalence is not known. Since such case has not been reported in Nepal to best of our knowledge, we present a case of shared delusional disorder along with brief review of literature. This case report describes a case of common shared persecutory delusion in husband and wife.
Highlights
Shared psychotic disorder known as Folie à deux was first described in 1877 by Laségue and Falret in France.1The essential feature of this disorder is a delusion that develops in an individual who is involved in a close relationship with another person who already has a psychotic disorder
After a complete clinical assessment, psychological testing and mental status examination we diagnosed the index case as folie a deux as the husband had same delusion as wife, his symptoms had started after the symptoms of his wife and he showed complete improvement after being separated from his wife and few days of antipsychotic therapy
Social isolation has often been described as a major risk factor for the development of folie à deux
Summary
Pratikshya Chalise,[1] Sandip Subedi,[2] Pawan Sharma1 1Transcultural Psychosocial Organization,Kathmandu, Nepal, 2Universal College of Medical Sciences , Bhairahawa, Nepal
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