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Current Understanding and Approach to Delusional Infestation.

Natalie Moriarty1, Mariam Alam1, Andrea Kalus1

  • 1University of Washington, Seattle.

The American Journal of Medicine
|July 12, 2019
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Summary

Delusional infestation, a psychiatric condition, is effectively treated with antipsychotic medications. Building a strong provider-patient relationship is key to overcoming patient reluctance and ensuring safe, effective treatment for this condition.

Keywords:
AntipsychoticsDelusional infestationsDelusions of parasitosisMorgellons diseasePsychodermatology

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Area of Science:

  • Psychiatry
  • Dermatology
  • Neurology

Background:

  • Delusional infestation is characterized by a persistent belief of being infested, unsupported by evidence.
  • Diagnosis requires ruling out organic causes.
  • Patients often resist psychiatric evaluation and terminology.

Purpose of the Study:

  • To review the diagnosis and treatment of delusional infestation.
  • To highlight the importance of the therapeutic alliance in managing this condition.

Main Methods:

  • Literature review on delusional infestation.
  • Analysis of diagnostic criteria and treatment outcomes.
  • Discussion of patient-provider communication strategies.

Main Results:

  • Antipsychotic medications are generally safe and effective for delusional infestation.
  • Failure to treat can lead to excessive healthcare utilization and self-harm.
  • Therapeutic alliance is crucial for treatment adherence.

Conclusions:

  • Antipsychotics are the primary treatment for delusional infestation.
  • Effective management hinges on a strong therapeutic alliance and addressing patient reluctance.
  • Prompt and appropriate treatment prevents negative health outcomes.