Grandiose Delusions - Diagnosis

Diagnosis

Patients with a wide range of mental disorders which disturb brain function experience different kinds of delusions, including grandiose delusions. Grandiose delusions usually occur in patients with syndromes associated with secondary mania, such as Huntington's disease, Parkinson's disease, and Wilson's disease. Secondary mania has also been caused by substances such as levodopa and isoniazid which modify the monoaminergic neurotransmitter function. Vitamin B12 deficiency, uremia, hyperthyroidism as well as the carcinoid syndrome have been found to cause secondary mania, and thus grandiose delusions.

In diagnosing delusions, the MacArthur-Maudsley Assessment of Delusions Schedule is used to assess the patient.

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