P-680 - Delusional disorder, civil capacity and the pursue for justice

Abstract

Delusional Disorder is an illness characterized by the presence of nonbizarre delusions, sometimes being the only clinical characteristic. A middle-aged woman made a formal accusation against her neighbour. She had Myasthenia Gravis (a neuromuscular disease) for a long time and persecutory symptoms and was being analyzed for Civil Capacity. To discuss about Psychiatry Disorders with paranoia symptoms and the accusations and complaints of the patient because they can be true and bring consequences to the patient's life. To have a closer view of the patient with persecutory symptoms because their complaints can really be well-founded. Evaluation of a case report that was studied by a Psychiatrist in Rio de Janeiro, in which the prosecutor wanted to know whether the woman was capable of expressing her will and being responsible for her civil rights and obligations. The woman was suffering from a Delusional Disorder and needed to have Psychiatry treatment and to be attended by a legal representative. But her accusation against her neighbour had to be investigated by the authorities. We cannot disqualify patients with persecutory symptoms and their attempt to have justice, even when they do not have good insight into their pathological experiences. Our job is to help the patients by treating them, supporting them and maintaining their quality of life.