Successful Resolution of Messianic Delusion following Bi-temporal Modified Electroconvulsive Therapy in a Patient with Treatment-resistant Schizophrenia
Correspondence Address :
Aakanksha Kharb,
Senior Resident, Department of Psychiatry, B.P.S. Government Medical College for Women, Khanpur Kalan, Sonipat-131305, Haryana, India.
E-mail: aakanksha151kharb@gmail.com
Messianic delusion comprises a delusional system centered on the patient’s conviction that he has been selected by God for a special task or mission and has unique abilities to carry it out. The present case report describes a case of Treatment-Resistant Schizophrenia (TRS) with Messianic delusion in a 23-year-old unmarried male who presented to the Emergency Department with complaints of muttering to himself, decreased sleep, suspiciousness, socio-occupational dysfunction, aggressive behaviour, and a recent suicide attempt. Key interventions offered during the ward stay included rapid tranquilisation, antipsychotics, and benzodiazepines. The patient completely recovered with the concurrent use of clozapine and Modified Electroconvulsive Therapy (MECT). The patient received 16 sessions of MECT. He achieved both short-term and long-term remission with the therapy, as observed during regular follow-ups in the next six months. The present case emphasises the need for a multidisciplinary approach to the management, early detection, and adequate treatment of this challenging illness.
Antipsychotics, Clozapine, Religious delusion
DOI: 10.7860/JCDR/2024/65271.19167
Date of Submission: May 06, 2023
Date of Peer Review: Aug 05, 2023
Date of Acceptance: Sep 05, 2023
Date of Publishing: Mar 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. NA
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: May 12, 2023
• Manual Googling: Aug 23, 2023
• iThenticate Software: Sep 02, 2023 (9%)
ETYMOLOGY: Author Origin
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