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Yes, very rare: Yes, delusional parasitosis is very rare. It's hard to quantify the incidence because most of the existing literature comes in the form of case reports and series. It does seem to be more common over age 50 -- and there's also a peak from age 20-30. After age 50, the incidence is 2 women: 1 man; men usually present before age 50. About 10% present as a shared disorder -- folie a deux. ...Read moreSee 2 more doctor answers
Intense suffering: Delusional parasitosis is a psychiatric condition where a person believes s/he is infested or parasitized by bugs, worms, or other creatures. Most patients describe the infestation as being on or just under the skin, in or around body openings, or internal (particularly in the stomach or intestines). It can lead to severe scratching or mutilation, or using poisons to cleanse themselves. ...Read more
With patience & care: Delusional parasitosis is a difficult illness to treat. It can be very chronic, and there can be secondary infection from scratching and self-gauging. These need treatment by physicians too. For the anxiety, ssri's & low-dose antipsychotics are sometimes used -- also psychotherapy if the person will agree to it. The less anxiety, the less skin focus and picking, often. ...Read more
A fixed false belief: A delusion is a very strong belief, a conviction, that is demonstrably false and flies in the face of evidence to the contrary. Delusions usually don't occur in isolation, but in the context of other emotional disorders. And here's a secret: if you have enough insight to ask, you probably don't have a delusion. People with delusions very rarely question their own conviction. ...Read moreSee 1 more doctor answer
Delusions: Fixed, false beliefs held with conviction despite evidence to the contrary. Treatment options include: medication and therapy. More information could be helpful since delusions can be bizarre or non-bizarre and also not clear if this is a delusional disorder or delusions are part of another disorder. If not seeing a doctor and therapist definitely recommend that practice reinforcement reality test. ...Read more
I feel like my thinking is back to being grandiose delusional again. Am taking medicine but it's not working?
Contact your psychiatrist: Or since it's the weekend if you need to go to the emergency room for further guidance. They will either raise your medication or recommend an additional medication or a different medication. At any rate that needs to be done by a mental health professional. The er may be able to contact your doctor at home on the weekend even if you are unable. Best wishes and i hope that your symptoms come under control soon. ...Read more
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