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Persecutory/late-onset delusional disorder

HIGH-YIELD Appears 8×
Teaching point

A fixed, non-bizarre delusion (neighbours interfering with one's sex life, surveillance, poisoning gas, olfactory themes) without global functional decline or other psychotic features is delusional disorder, not schizophrenia. In elderly well-functioning patients consider late-onset delusional disorder; hearing loss can produce musical hallucinosis.

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