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The International Classification of Diseases classifies delusional disorder as a mental and behavioural disorder. [15] Diagnosis of a specific type of delusional disorder can sometimes be made based on the content of the delusions, to wit, the Diagnostic and Statistical Manual of Mental Disorders (DSM) enumerates seven types:
295.70 Schizoaffective disorder; 297.1 Delusional disorder. Erotomanic subtype; Grandiose subtype; Jealous subtype; Persecutory subtype; Somatic subtype; Mixed type; 298.8 Brief psychotic disorder; 297.3 Shared psychotic disorder; Psychotic disorder due to ... [indicate the general medical condition] 293.81 With delusions; 293.82 With ...
A delusion [a] is a fixed belief that is not amenable to change in light of conflicting evidence. [2] As a pathology, it is distinct from a belief based on false or incomplete information, confabulation, dogma, illusion, hallucination, or some other misleading effects of perception, as individuals with those beliefs are able to change or readjust their beliefs upon reviewing the evidence.
People with a delusional disorder have a significantly high risk of developing psychiatric comorbidities such as depression and anxiety. This may be attributable to a genetic pattern shared by 55% of SDD patients. [15] Shared delusional disorder can have a profoundly negative impact on a person's quality of life. [16]
This condition is often seen in disorders like schizophrenia, schizoaffective disorder, delusional disorder, manic episodes of bipolar disorder, psychotic depression, and some personality disorders. [2] [3] Alongside delusional jealousy, persecutory delusion is the most common type of delusion in males and is a frequent symptom of psychosis.
The DSM-5 characterizes disorders as psychotic or on the schizophrenia spectrum if they involve hallucinations, delusions, disorganized thinking, grossly disorganized motor behavior, or negative symptoms. [17]