Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists · 2020
Treating the untreatable? The biopsychosocial treatment of delusional disorder: a case study.
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Goodwin Terri-Ann, Lowry Tim J, Meurk Carla, Neillie Darren
Аннотация
OBJECTIVE: Delusional disorder (DD) is well recognised, but its treatment is controversial. This article presents a case study that highlights the therapeutic benefits associated with assertive biopsychosocial treatment of DD.
METHOD: The literature on pharmacological and psychological treatments for DD is briefly reviewed, and a case example from the Queensland Fixated Threat Assessment Centre is given to illustrate a comprehensive biopsychosocial treatment framework.
RESULTS: Combined pharmacological and psychosocial intervention resulted in stabilisation and improvement in mental state for the case described.
CONCLUSIONS: There is an emergent evidence base for an assertive biopsychosocial approach to treating DD. The case study demonstrates that a range of therapeutic goals is achievable.
METHOD: The literature on pharmacological and psychological treatments for DD is briefly reviewed, and a case example from the Queensland Fixated Threat Assessment Centre is given to illustrate a comprehensive biopsychosocial treatment framework.
RESULTS: Combined pharmacological and psychosocial intervention resulted in stabilisation and improvement in mental state for the case described.
CONCLUSIONS: There is an emergent evidence base for an assertive biopsychosocial approach to treating DD. The case study demonstrates that a range of therapeutic goals is achievable.