The Spectrum of Ideation in Patients with Symptoms of Infestation: From Overvalued Ideas to the Terminal Delusional State
- *Corresponding Author:
- Gabrielle E. Brown
College of Medicine, University of Arizona
515 Spruce Street, San Francisco, CA 94118, USA
E-mail: [email protected]
Received date: July 28, 2014; Accepted date: September 27, 2014; Published date: October 03, 2014
Citation: Brown GE, Sorenson E, Malakouti M, Leon A, Reichenberg JS, et al. (2014) The Spectrum of Ideation in Patients with Symptoms of Infestation: From Overvalued Ideas to the Terminal Delusional State. J Clin Exp Dermatol Res 5:241. doi: 10.4172/2155-9554.1000241
Copyright: © 2014 Gabrielle Brown et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Delusional infestation (DI) is a type of monosymptomatic hypochondriacal psychosis characterized by the steadfast belief that one is infested with living organisms or inanimate material in the absence of objective proof. Although DI is generally regarded as a single psychotic phenotype characterized by either the presence or absence of a delusion, our experience has been that patients with DI present with varying levels of severity represented by various phenotypes along a continuum. Distinguishing where a particular patient presents on this spectrum has allowed us to modify our approach with greater sophistication and thereby optimize management. Our aim is to describe for the first time in dermatology the concept of the DI continuum with support from the psychiatric literature, and to provide practical therapeutic recommendations for each phenotype in the spectrum.