ADVERTISEMENT

Q. Kindly explain whether my disease is delusion disorder or paranoid schizophrenia.

Answered by
Dr. Sreenivasan Vazhoor Ramsingh
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Dec 21, 2016 and last reviewed on: Feb 03, 2021

Hi doctor,

I would like to know whether my disease is delusion disorder or paranoid schizophrenia. I have been taking Risperidone 2 mg for 16 years, Escitalopram 10 mg for 7 years and for hypertension Met XL 25 mg for 5 years. My cholesterol levels are normal. I am a pure vegetarian. I do not smoke. I am not even an occasional drinker. My thyroid hormone levels are normal. I am not a diabetic, but my weight is 103 kg and my height is 5'7". I walk around 5 km for five days a week. I have been working in shift for the past 15 years. I am working as a senior engineer with full competence, but with little nervousness. I experienced delusions alone and not hallucinations when I was broken down for first time before 16 years when I was studying post graduation. Earlier than that, I used to suffer from severe anxiety. Before 8 years, with a doctor's prescription, I reduced Risperidone 1 mg to 0.5 mg and Escitalopram 10 mg. It proved fatal and relapse of delusion occurred. From then onwards, Risperidone 2 mg and Cita S 10 mg followed. I am a bit anxious, but mentally fine. Except the two above events, I never experienced delusions. Except obese, I have no other problems. There is no one to remind me for tablets as I am living alone. I am married, but my wife is working in another location. I am having one daughter, who is healthy and active. As there is a family history, from your answer only I do will decide about my daughter's higher study.

#

Hi,

Welcome to icliniq.com.

I am sorry to hear about your mental state, but at the same time I do appreciate you for being on regular medicines. However, even though your question is very direct, I am sorry to say that I cannot give you a straight forward answer or diagnosis.

First and most importantly, I implore you not to go chasing after a specific diagnosis as the DSM (Diagnostic and Statistical Manual) and other books that are used for diagnosing psychiatric conditions. They keep changing some criteria every decade or so.

Hence, as long as you have understood that you have delusions which get better with regular treatment, that it is more insight than most people with your condition.

Secondly, I cannot figure out why you want to link your daughter's career with your diagnosis. Please do let her live her own life. Though there is a genetic risk of schizophrenia in her, it is in no way a certainty.

Now, coming to your actual question, if the delusions that you had were deemed bizarre by your treating psychiatrist, he would be right in fitting you into a diagnosis of paranoid schizophrenia even if you have not had any sort of hallucination. So, it would depend on the content of your delusions too.

Apart from delusions and hallucinations, there are a variety of other criteria too, like disorganized speech or behavior or negative symptoms, which could give you a diagnosis of schizophrenia.

So, once again, I would like to end my response saying that it would be best if you discuss the reason for your diagnosis with your treating psychiatrist. But, please do not let it affect your daughter's future in any manner. Take care.

For more information consult a psychiatrist online --> https://icliniq.com./ask-a-doctor-online/psychiatrist


The Probable causes:

To rule out any congenital syndromes.

Investigations to be done:

CBC (complete blood count), LFT (liver function test), RFT (renal function test), electrolytes, FBS (fasting blood sugar), PPBS (postprandial blood sugar), FLP (fasting lipid profile), TFT (thyroid function test) and CT brain, preferably MRI brain.

Differential diagnosis:

1. Delusional disorder.
2. Schizophrenia.
3. Unspecified psychotic disorder.
4. Anxiety disorder.

Treatment plan:

1. Continue antipsychotics and SSRI (selective serotonin reuptake inhibitor) if you feel better.
2. Reevaluate the diagnosis if no improvement and optimize the drugs.
3. Get examined for extrapyramidal symptoms.
4. Consider drugs for obesity and investigations, including metabolic profile to assess obesity.

Preventive measures:

Regular exercise, balanced diet, regular sleep, regular medication and regular follow up with a psychiatrist.

Regarding follow up:

For further information consult a psychiatrist online.---> https://www.icliniq.com/ask-a-doctor-online/psychiatrist


Was this answer helpful?

 | 

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!



Related Questions:
Am I suffering from schizophrenia?

Having said this, the symptoms are more indicative of anxiety disorder with added obsessive and compulsive behavior ... This is more likely as you are already suffering with hypochondriasis, which is again a ...   Read full

Is it safe to take Risperidone for hallucination for a long time?

Can psychosis come back after stopping the medication ... After completing the drug treatment, relapse of psychosis can also occur ...   Read full

My anxiety disorder relapsed after I drank beer. What should I do?

Hello doctor, I have anxiety and panic since five years ... I drank half a beer at a party, and the anxiety disorder relapsed ... It seems to be an ...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read


The New COVID Variant From South Africa (Omicron)
The World Health Organisation has enlisted Omicron to be a variant of concern. Just scroll down the article to know abou...  Read more»
Managing Diabetes During Festive Season
All the festivals are indirectly a danger sign for diabetic patients. Read this article to know more about how to handle...  Read more»
What You Should Eat and Drink for A Healthy Life!!
Food is essential for our survival, and what we eat definitely impacts our health. We can easily reduce the risk of many...  Read more»

Ask your health query to a doctor online?

Ask a Psychiatrist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.