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Updated: May 20, 2026

Protocol for Repetitive Transcranial Magnetic Stimulation with Symptom Provocation to Treat Obsessive-compulsive Disorder
Published on: November 25, 2025
Delusion or obsession: clinical dilemma
Priya Gandhi1, Amin Muhammad Gadit
1Discipline of Psychiatry, Memorial University of Newfoundland, Newfoundland, Canada.
Background:
A 52-year old lady presented for admission with severe depression characterised by suicidal ideation and delusional belief.
Case Presentation:
Her treatment regime was reviewed and modified. The dilemma was whether she suffered from a psychotic depression with delusion or an obsessional disorder. She responded well to change of antipsychotic medication.
Conclusions:
Her depression went in remission and her delusional belief decreased in intensity. She also gained reasonable insight into her problem. She is currently being followed up in the psychiatric outpatient clinic.
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