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The British Journal of Psychiatry 157: 924-928 (1990)
© 1990 The Royal College of Psychiatrists

Three thousand days of pregnancy. A case of monosymptomatic delusional pseudocyesis responding to pimozide

KW de Pauw
Department of Psychiatry, Doncaster Royal Infirmary.

An unusual case of pseudocyesis of almost ten-year duration, characterised by a monosymptomatic hypochondriacal delusion and a selective response to pimozide is reported. The nosological status of the diagnosis, delusional (paranoid) disorder, is suggested to be a variety of the Kraepelinian concept of paranoia. The therapeutic pitfalls of relying on a phenomenological distinction between overvalued ideas and delusional beliefs are discussed.


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Psychiatric Bulletin Advances in Psychiatric Treatment All RCPsych Journals
Copyright © 1990 The Royal College of Psychiatrists.