
In these observations delusional and hallucinatory disorders occur against a background mnestiko and intellectual disorders and more likely to be fragmented. There may be a noticeable trend towards konfabulirovaniyu. Diagnosis of paranoia housing is very responsible of procedure, because it affects not only the aspect of the medical evaluation of the patient, but also his social status, primarily associated with the possibility of independent living and ownership housing. Therefore, before you finally make one or another diagnostic opinion, the physician should not only have the fullest possible information (both from the patient's words and the words of living with him) related to the actual psychosis, but also an objective understanding of the situation microsocial that has developed around the patient at his place of residence. There are cases when neighbors or relatives who are really interested in housing a sick or wanting to get rid of characterological "uncomfortable" the old man, give a deliberately distorted information about the patient, reinforcing the "manifestations of mental pathology, and sometimes just faking it. In other words, as a result of the analysis of information available to him the doctor must be sure that he really has to deal with the case of delusional psychosis, but not with the sharp housing conflict, though, and possibly overvalued contemporaneous patients. According to the current international classification of mental disorders ICD-10 [10], vozmozhny the following options for advanced diagnostic skills of delusional psychosis, paranoia syndrome occurring with housing. In the most typical cases in which its clinical manifestations are exhausted by the delusional disorder of everyday content, including the presence of elementary auditory or olfactory hallucinations, diagnosed with delusional disorder "as a variant of" chronic delusional disorder "(F22.0). Case with verbal hallucinosis nekommentiruyuschego nature should be referred to the category "other chronic delusional disorders" (F22.8). Patients with the presence of delusions or delusions of physical influence with fantastic content, or to the presence of commenting voices are diagnosed with paranoid schizophrenia (F20.0). Delusional disorders, as a reaction to serious intra (or mezhkvartirny) conflict, the match heading "Other acute predominantly delusional psychotic disorders" (F23.3). Individuals with an induced paranoia housing option are diagnosed induced delusional disorder "(F24). If psychosis is developing in the framework of dementia, then as the principal diagnosis will be reported to the appropriate form of dementia, for example, dementia in Alzheimer's disease (FOO) or "vascular dementia" (F01). In this case, an additional (fifth) mark is marked by the presence of the patient delusional (. X1) or hallucinatory (. X2) disorder.
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