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Chapter V

Persistent delusional disorders - F22


Includes a variety of disorders in which long-standing delusions constitute the only, or the most conspicuous, clinical characteristic and which cannot be classified as organic, schizophrenic or affective. Delusional disorders that have lasted for less than a few months should be classified, at least temporarily, under F23.-.
F22.0 Delusional disorder
A disorder characterized by the development either of a single delusion or of a set of related delusions that are usually persistent and sometimes lifelong. The content of the delusion or delusions is very variable. Clear and persistent auditory hallucinations (voices), schizophrenic symptoms such as delusions of control and marked blunting of affect, and definite evidence of brain disease are all incompatible with this diagnosis. However, the presence of occasional or transitory auditory hallucinations, particularly in elderly patients, does not rule out this diagnosis, provided that they are not typically schizophrenic and form only a small part of the overall clinical picture.
Paranoia
Paranoid:
  • psychosis
  • state
    Paraphrenia (late)
    Sensitiver Beziehungswahn
      Excludes:
    • paranoid:
    • personality disorder ( F60.0 )
    • psychosis, psychogenic ( F23.3 )
    • reaction ( F23.3 )
    • schizophrenia ( F20.0 )
  • F22.8 Other persistent delusional disorders
    Disorders in which the delusion or delusions are accompanied by persistent hallucinatory voices or by schizophrenic symptoms that do not justify a diagnosis of schizophrenia (F20.-).
    Delusional dysmorphophobia
    Involutional paranoid state
    Paranoia querulans
    F22.9 Persistent delusional disorder, unspecified


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