TITLE:
Delusional Disorder of Jealousy versus Bipolar Affective Disorder, Severe Manic Episode
AUTHORS:
Simona Trifu, Ioana Eliza Gaianu, Diab Hasan
KEYWORDS:
Bipolar Affective Disorder, Delirious Jealousy Disorder, Reality Test, “Detectives”, Othello Syndrome
JOURNAL NAME:
Open Journal of Social Sciences,
Vol.7 No.12,
December
26,
2019
ABSTRACT: Motivation: Bipolar affective disorder superimposed on a paranoid personality
structure can at various times vary various psychopathological aspects, so that
at the onset of a new manic episode, until confusion or rage is evident, the
one in question suggests the profile of a true delusional disorder. Objective: Presentation of a patient with a military career, his Super-Ego severely
stressed by justice, fairness and limits, which overlaps a bipolar affective
disorder over an event unhappy with life (the adultery of the wife), which is
dressed by it, as well as by relatives and friends approach, in a symptom of
the patient’s disease. Hypothesis: The paranoiac’s struggle with proving the truth and imposing
the proof of reality breaks the fragile border of remission, causing the person
concerned to make a manic episode, as the handiest way to deal with adultery. Methods: prolonged hospitalization in psychiatry, investigation of personal life
history, attention to the evidence brought by the patient and understanding of
the interpretive mechanism, administration of antipsychotic and
mood-stabilizing treatment, individual and marital psychological counseling,
psychoeducation related to the diminution of the investigative behaviors
related to “ritual”. Results: The patient suggests a severe manic episode with psychotic phenomena,
which overlaid a confused craze after the first days of hospitalization the
diagnosis suggested a delirious jealous disorder. The slip to the affective
pole occurred when the reality tests supported the truthfulness of the patient’s
statements, the latter not intolerant of the reality and slipping into a more
destructive psychosis than that of a delusional disorder. Conclusion: Involvement of the wife in the psychological management of the episode,
with the restoration of the milestones of reality and the reconsideration of
the participation coefficient in the family crisis of each of the partners
diminished the demanding behaviors of the type: involvement of the Police,
complaints, the “Othello” syndrome, with the return to the personal life.