Secondary Delusion of Pregnancy in an Antipsychotic Naïve Patient

Abstract

Delusion of pregnancy is relatively rare phenomenon encountered in psychiatric patients but is reported frequently in developing countries. It can be associated with both psychiatric and neurological disorders. We are reporting a case of delusion of pregnancy that developed in a drug-naïve young woman secondary to auditory hallucination with normal body mass index with no neurological cause due to paranoid schizophrenia. Till date, only seven such cases were reported where auditory hallucinations were reported along with the belief in pregnancy. It should be differentiated from pseudocyesis/pseudopregnancy/simulated pregnancy/Couvade syndrome. Workup should include the identification of the psychosocial/cultural factors leading to the development of this phenomenon, although pharmacological treatment remains the mainstay of the treatment.

Disulfiram‐induced mania: A case report

“…While rare, disulfiram can precipitate adverse psychiatric effects, including psychosis and mania. At least three additional case reports describe disulfiram‐induced mania in individuals without personal histories of bipolar disorder, occurring within 1–5 months after initiation of therapeutic doses 2–4 . This case describes the first episode of mania in a 49‐year‐old Caucasian male who had been taking a therapeutic dose of disulfiram for AUD for 1 month.…”

Delusion of pregnancy: Case series

“…[ 1 , 2 ] The term is used when there are no obvious physical signs of pregnancy, which differentiates it from pseudocyesis (phantom pregnancy), a somatic condition in which all signs and symptoms of pregnancy (including abdominal swelling, spotting, breast tenderness and engorgement, weight gain, and galactorrhea) are present in the absence of a fetus. [ 3 , 4 ]…”

Delusion of Pregnancy: A Case Report and Literature Review

“…This condition should also be differentiated from couvade syndrome, pseudopregnancy, and simulated pregnancy. 4 , 15 , 20 Delusion of pregnancy has been reported in women across all age ranges, 3 , 7 , 15 , 20 including postmenopausal women, 18 women who had a hysterectomy, and prepubertal girls. 10 However, the emergence of delusion of pregnancy in men has been strongly associated with impaired cerebral function, a history of male sexual abuse, and contact with pregnant women.…”