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An Overview of Treatment in Paranoia / Delusional Disorder

An Overview of Treatment in Paranoia / Delusional Disorder ObjectiveTo examine delusional disorder (formerly paranoia) which has re-emerged as an important diagnosis in psychiatry and familiarize present-generation psychiatrists with this disorder and its treatment. To benefit other researchers, a bibliography is appended.MethodApproximately 1,000 articles on paranoia/delusional disorder were analyzed in detail. These articles date from 1961 with the greater majority dating from 1980 onward. Case descriptions were often vague and only cases identifiable by DSM-IV diagnostic criteria were accepted. Eventually 257 cases were accumulated, but it was only possible to report on treatment aspects of 209 of these, due to lack of detail.ResultsBecause the data are so disparate, and the literature is confusing in therapeutics aspects, only the broadest conclusions can be drawn. However, it does appear that when adequately treated, delusional disorder is an illness with a reasonably good prognosis. Cases respond equally well to treatment, whatever the specific delusional content, and pimozide currently appears to be the neuroleptic which produces the best results.ConclusionsThere is an urgent need to raise standards in the study of delusional disorder and its treatment. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Canadian Journal of Psychiatry SAGE

An Overview of Treatment in Paranoia / Delusional Disorder

Munro, Alistair; Mok, Hiram
Canadian Journal of Psychiatry , Volume 40 (10): 7 – Dec 1, 1995
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References (113)

Publisher
SAGE
Copyright
© 1995 Canadian Psychiatric Association
ISSN
0706-7437
eISSN
1497-0015
DOI
10.1177/070674379504001008
Publisher site
See Article on Publisher Site

Abstract

ObjectiveTo examine delusional disorder (formerly paranoia) which has re-emerged as an important diagnosis in psychiatry and familiarize present-generation psychiatrists with this disorder and its treatment. To benefit other researchers, a bibliography is appended.MethodApproximately 1,000 articles on paranoia/delusional disorder were analyzed in detail. These articles date from 1961 with the greater majority dating from 1980 onward. Case descriptions were often vague and only cases identifiable by DSM-IV diagnostic criteria were accepted. Eventually 257 cases were accumulated, but it was only possible to report on treatment aspects of 209 of these, due to lack of detail.ResultsBecause the data are so disparate, and the literature is confusing in therapeutics aspects, only the broadest conclusions can be drawn. However, it does appear that when adequately treated, delusional disorder is an illness with a reasonably good prognosis. Cases respond equally well to treatment, whatever the specific delusional content, and pimozide currently appears to be the neuroleptic which produces the best results.ConclusionsThere is an urgent need to raise standards in the study of delusional disorder and its treatment.

Journal

Canadian Journal of Psychiatry – SAGE

Published: Dec 1, 1995

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