Objective: In this article, a case of shared psychotic manic syndrome with delusion of grandiosity is reported.
Method: The mood and psychotic symptoms appeared with a three days interval, in two sisters of 26 and 21 years old, respectively. They were admitted and treated in a psychiatric hospital. Laboratory tests, brain neuroimaging, electroencephalography, and diagnostic evaluation by two psychiatrists were done.
Results: In these two patients, the diagnoses based on DSM-IV criteria were bipolar-I-disorder in manic episode with psychotic features. There were religious and grandiosity delusions in both patients, persecutory delusion in the older one, and auditory hallucinations in the other.
Conclusion: The current diagnostic criteria to include various shared mental symptoms, such as manic symptoms, needs revision. To evaluate validity of these diagnoses, longitudinal studies are suggested.
Type of Study:
Research |
Subject:
Special Received: 2003/02/20 | Accepted: 2003/04/21 | Published: 2003/06/22