Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia
Messianic delusion comprises a delusional system centered on the patient’s conviction that he has been selected by God for a special task or mission and has unique abilities to carry it out. The present case report describes a case of Treatment-Resistant Schizophrenia (TRS) with Messianic delusion i...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2024-03-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://www.jcdr.net/articles/PDF/19167/65271_CE[Ra1]_F(SHU)_QC(KK_SS_RDW_OM)_PF1(RI_OM)_PFA(RI_KM)_PN(KM).pdf |
| _version_ | 1797270863507095552 |
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| author | Aakanksha Kharb Sunny Garg Priti Singh |
| author_facet | Aakanksha Kharb Sunny Garg Priti Singh |
| author_sort | Aakanksha Kharb |
| collection | DOAJ |
| description | Messianic delusion comprises a delusional system centered on the patient’s conviction that he has been selected by God for a special task or mission and has unique abilities to carry it out. The present case report describes a case of Treatment-Resistant Schizophrenia (TRS) with Messianic delusion in a 23-year-old unmarried male who presented to the Emergency Department with complaints of muttering to himself, decreased sleep, suspiciousness, socio-occupational dysfunction, aggressive behaviour, and a recent suicide attempt. Key interventions offered during the ward stay included rapid tranquilisation, antipsychotics, and benzodiazepines. The patient completely recovered with the concurrent use of clozapine and Modified Electroconvulsive Therapy (MECT). The patient received 16 sessions of MECT. He achieved both short-term and long-term remission with the therapy, as observed during regular follow-ups in the next six months. The present case emphasises the need for a multidisciplinary approach to the management, early detection, and adequate treatment of this challenging illness. |
| first_indexed | 2024-04-25T02:11:02Z |
| format | Article |
| id | doaj.art-b0daba6076f44460969afc544cf6adcb |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-25T02:11:02Z |
| publishDate | 2024-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-b0daba6076f44460969afc544cf6adcb2024-03-07T11:48:17ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2024-03-011803010310.7860/JCDR/2024/65271.19167Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant SchizophreniaAakanksha Kharb0Sunny Garg1Priti Singh2Senior Resident, Department of Psychiatry, B.P.S. Government Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Assistant Professor, Department of Psychiatry, B.P.S. Government Medical College for Women, Khanpur Kalan, Sonipat, Haryana, India.Senior Professor, Department of Psychiatry, Institute of Mental Health, Pt.B.D.Sharma University of Health Sciences, Rohtak, Haryana, India.Messianic delusion comprises a delusional system centered on the patient’s conviction that he has been selected by God for a special task or mission and has unique abilities to carry it out. The present case report describes a case of Treatment-Resistant Schizophrenia (TRS) with Messianic delusion in a 23-year-old unmarried male who presented to the Emergency Department with complaints of muttering to himself, decreased sleep, suspiciousness, socio-occupational dysfunction, aggressive behaviour, and a recent suicide attempt. Key interventions offered during the ward stay included rapid tranquilisation, antipsychotics, and benzodiazepines. The patient completely recovered with the concurrent use of clozapine and Modified Electroconvulsive Therapy (MECT). The patient received 16 sessions of MECT. He achieved both short-term and long-term remission with the therapy, as observed during regular follow-ups in the next six months. The present case emphasises the need for a multidisciplinary approach to the management, early detection, and adequate treatment of this challenging illness.https://www.jcdr.net/articles/PDF/19167/65271_CE[Ra1]_F(SHU)_QC(KK_SS_RDW_OM)_PF1(RI_OM)_PFA(RI_KM)_PN(KM).pdfantipsychoticsclozapinereligious delusion |
| spellingShingle | Aakanksha Kharb Sunny Garg Priti Singh Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia Journal of Clinical and Diagnostic Research antipsychotics clozapine religious delusion |
| title | Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia |
| title_full | Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia |
| title_fullStr | Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia |
| title_full_unstemmed | Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia |
| title_short | Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia |
| title_sort | successful resolution of messianic delusion following bi temporal modified electroconvulsive therapy in a patient with treatment resistant schizophrenia |
| topic | antipsychotics clozapine religious delusion |
| url | https://www.jcdr.net/articles/PDF/19167/65271_CE[Ra1]_F(SHU)_QC(KK_SS_RDW_OM)_PF1(RI_OM)_PFA(RI_KM)_PN(KM).pdf |
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