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Delusional Jealousy: How Can Treatment be Improved? A Case Report
Carolina R Machado1, Cristina Fragoeiro1, Margarida Passos1
1Servicio de Psiquiatría, Hospital Magalhães Lemos, Porto, Portugal.
Revista Colombiana De Psiquiatria (English Ed.)
|March 18, 2021
Summary
Delusional jealousy, though rare, poses significant risks. This case highlights challenges in its pharmacological treatment, emphasizing the need for more research into effective therapies for this condition.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Delusional jealousy disorder is a rare condition, accounting for 10% of delusional disorders.
- It is associated with a high risk of violence and suicide.
Observation:
- A case report of a 76-year-old man with delusional jealousy presenting with threats of aggression.
- Initial treatment with risperidone showed improvement but led to hypotensive side effects.
Findings:
- Paliperidone palmitate was used off-label due to side effects from risperidone.
- This highlights the complexities in managing delusional jealousy pharmacologically.
Implications:
- There is a lack of robust scientific evidence for treating delusional jealousy.
- Further research is crucial to develop effective treatment strategies for patients and their families.

