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<blockquote data-quote="pasansnoop" data-source="post: 26683665" data-attributes="member: 125460"><p>A 18-year-old male, from middle socioeconomic status, who had no family history of any mental illness presented with an insidious onset and continuous illness of 3 years' duration, characterized by delusion of persecution, delusion of reference, delusion of grandiosity, delusion of control, auditory hallucination of commanding and discussing type, thought broadcast, apathy, poor self-care, and marked sociooccupational dysfunction. In addition to the symptoms listed, he elaborated about someone having sexual intercourse with him, against his will. On mental status examination, the patient appeared to be very much distressed with his psychopathology. He described the phenomenon of auditory hallucination (commanding and discussing type) and thought broadcast. In addition, the patient explained that at night, when he would go to his bed, he could feel the sensation of being touched by a female, whom he would describe as a good-looking woman. He would be able to feel his private parts being touched, leading to erection and ejaculation. As per patient, he did not want this experience, this would happen against his will, would feel guilty about having such an experience and having sexual contact with an unknown female, and he was fully convinced about having such an experience. Very occasionally, he would get up from the sleep, after this experience and remain distressed and fearful. In his explanation, he had a strong belief that a “witch” was doing so, but would not be able to point out the exact figure of “witch.” His cognitive functions were intact and he had poor insight.</p><p></p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198602/" target="_blank">Source</a></p></blockquote><p></p>
[QUOTE="pasansnoop, post: 26683665, member: 125460"] A 18-year-old male, from middle socioeconomic status, who had no family history of any mental illness presented with an insidious onset and continuous illness of 3 years' duration, characterized by delusion of persecution, delusion of reference, delusion of grandiosity, delusion of control, auditory hallucination of commanding and discussing type, thought broadcast, apathy, poor self-care, and marked sociooccupational dysfunction. In addition to the symptoms listed, he elaborated about someone having sexual intercourse with him, against his will. On mental status examination, the patient appeared to be very much distressed with his psychopathology. He described the phenomenon of auditory hallucination (commanding and discussing type) and thought broadcast. In addition, the patient explained that at night, when he would go to his bed, he could feel the sensation of being touched by a female, whom he would describe as a good-looking woman. He would be able to feel his private parts being touched, leading to erection and ejaculation. As per patient, he did not want this experience, this would happen against his will, would feel guilty about having such an experience and having sexual contact with an unknown female, and he was fully convinced about having such an experience. Very occasionally, he would get up from the sleep, after this experience and remain distressed and fearful. In his explanation, he had a strong belief that a “witch” was doing so, but would not be able to point out the exact figure of “witch.” His cognitive functions were intact and he had poor insight. [URL='https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6198602/']Source[/URL] [/QUOTE]
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