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Published on: November 21, 2013
Psychotic symptoms of sexual nature as core psychopathology in schizophrenia: Case series
Anjali Sharma1, Manish R Thakur1, Bhavuk Garg1
1Department of Psychiatry, Lady Hardinge Medical College, New Delhi, India.
Background:
Psychotic symptoms involving sexual content remain underreported in schizophrenia, particularly in Indian settings.
Cases:
Six patients with schizophrenia presenting with sexually themed delusions or hallucinations as core psychopathology were reviewed. Data were extracted through chart review with informed consent and de-identification. Diagnostic formulation was based on ICD-11 criteria, and insight was assessed on a 5-point clinical scale. The mean age was 32 years; five patients were female. Presentations included somatic passivity, delusional perception, and delusion of control. Three patients met criteria for treatment-resistant schizophrenia and responded to clozapine.
Conclusion:
Sexually themed psychotic experiences may occur as prominent features of schizophrenia, particularly in chronic or treatment-resistant cases. Awareness of such presentations can facilitate culturally sensitive diagnosis and management.
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