Delusional Jealousy looked through the lens of a concise Literature Review and Case Report of 'Unfaithful Husband' with Sociocultural Repercussions | Chapter 05 | Emerging Research in Medical Sciences Vol. 1
Background:
Pure delusional jealousy [DJL] is an uncommon disorder and is characterized by
unshakable false belief of infidelity, lack of hallucination, thought disorder
and mood disturbance, and not associated with alcohol or other drug abuse or
any co-morbid psychophysical illness.
Objective: This paper aims to review
qualitatively the relevant literature (2000-2019) and present a case of
delusional jealousy.
Case History: A 31-year-old
housewife with three minor children developed an unshakable belief that her husband
was having an extramarital affair since 5 years and no longer loved her. She
was diagnosed with delusional jealousy and was managed with aripiprazole and
brief psychotherapy. Within three months, most of her symptoms improved,
however she developed post-psychotic depression and attempted suicide by taking
125mg diazepam. She was immediately rushed to a private hospital and admitted
to the intensive care unit (ICU). She recovered within five days and was
shifted to the public hospital for the management of depression, where she was
stabilized and discharged after two weeks.
Conclusion: Typical and atypical
antipsychotic drugs combined with psychotherapy are the main treatment options
for patients with DJL with or without co-morbid physical and psychiatric
disorders. Post-psychotic depression and suicide attempts, devastating
biosocial consequences among patients with DJL need timely and appropriate
interventions and continued followup for better outcome and good quality of
life.
Author(s) Details
Naseem Akhtar Qureshi
National Center of
Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi
Arabia.
Abdulhameed Abdullah
Al-Habeeb
General Supervisor of
National Committee for Promotion of Mental Health, Ministry of Health, Riyadh, Saudi
Arabia.
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