Abstract

Both obsessive-compulsive disorders and psychotic disorders are very common among inpatients and outpatients. Though at first these 2 seem to not have much in common there is an aspect that requires more attention from the clinician: differentiating between delusions and obsessions without insight. This could be facilitated by a careful comparative examination of the phenomenological features of typical obsessions (with or without compulsions) and delusions (with or without repetitive delusional behaviors). In this article we examined key clinical features of obsessions and delusions in order to help differentiate between them and several of these features, if properly and empathically investigated, can help discriminate obsessions and compulsive rituals from delusions and delusional repetitive behaviors. We also touch on the topic of beliefs as they are associated with most obsessions and compulsions in obsessive–compulsive disorder and as their characteristics can vary considerably, some of them have been regarded as delusions.

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