A CASE OF OTHELLO SYNDROME (A TYPE OF DELUSIONAL DISORDER) IN A WOMAN OF 54 TREATED WITH HOMOEOPATHY

Deepthi Gilla, Sreeja Kudukayil Radhakrishnan Nair, S R Sreelakshmy

Abstract


Background: Delusional disorder (DD) is a rare mental illness in which a person presents abnormal beliefs (delusions), but without other prominent psychotic symptoms like hallucinations, thought disorder, or significant flattening of affect. Othello syndrome is a delusional belief or overvalued idea that one’s spouse or partner is being unfaithful. Homoeopathy has evidence base in certain mental health issues, but usefulness in rare psychiatric syndromes is yet to be explored.

Case Report:  A female patient diagnosed as Othello syndrome treated by individualized homoeopathic approach in the Psychiatric ward of NHRIMH is presented. The case was assessed at baseline and follow up visits with Brown’s assessment of Beliefs scale (BABS). The client was treated with infrequent repetition of Arsenicum album in centesimal scale and followed up for a period of 2 years. Baseline BABS score of 24 turned to 16 at the end of 1 month and 0 at the end of 6 months respectively and maintained up to the end of 2 years. The patient became functionally well with marked reduction of delusions.

Conclusion: Individualized Homoeopathic medicine is useful in the management of Othello syndrome (DD). Systematic research with larger numbers is necessary to confirm or refute this single case observation.

Key words: Delusional disorder, Othello syndrome, Brown’s assessment of Beliefs scale (BABS), Individualized Homoeopathy, Arsenicum album


Full Text:

PDF

References


Sadock BJ, Sadock VA, Ruiz P, Synopsis of Psychiatry, Wolters Kluwer(India) Pvt. Ltd. 2015, 11th edition , p33

World Health Organization, The ICD Classification of Mental and Behavioral Disorders (10th ed) Delhi, A.I.T.B.S. Publishers & Distributors; 2007.

Casey P, Kelly B Fish’s clinical psychopathology signs and symptoms in psychiatry, third edition, Cambridge university press, Reprint 2009, p125.

Camicioli, R. Othello syndrome—at the interface of neurology and psychiatry. Nat Rev Neurol 7, 477–478 (2011). https://doi.org/10.1038/nrneurol.2011.123

American Psychiatric Association: Diagnostic and statistical manual of Mental Disorders, Fifth Edition. Arlington, VA, APA, 2013.

Grover S, Biswas P, Avasthi A. Delusional disorder: Study from North India. Psychiatry Clin Neurosci. 2007;61(5):462-470. doi:10.1111/j.1440-1819.2007.01694.x

Manschreck TC, Khan NL. Recent advances in the treatment of delusional disorder. Can J Psychiatry. 2006;51(2):114-119. doi:10.1177/070674370605100207

Joseph SM, Siddiqui W. Delusional Disorder. In: Stat Pearls. Treasure Island (FL): StatPearls Publishing; November 20, 2020.

Bebbington P, Freeman D. Transdiagnostic Extension of Delusions: Schizophrenia and Beyond. Schizophr Bull. 2017;43(2):273-282. doi:10.1093/schbul/sbw191

Tiwari P, Tyagi E. Mental health in homoeopathy: A systematic review. International Journal for Homoeopathic Sciences.2019; 3(3): 09-12

Oberai P, Gopinadhan S, Sharma A, Nayak C, Gautam K. Homoeopathic management of Schizophrenia: A prospective, non-comparative, open-label observational study. Indian J Res Homoeopathy 2016;10:108-18

Tapakis L, Lilas T, Statistical analysis of cases with depression treated with classical homeopathy, Homeopathy, Volume 105, Issue 1,2016, Pages 39-40.

Gilla D, Mohan ND, Sreeja KR, Obsessive compulsive disorder symptom exacerbation during Covid-19 related lockdown managed with homoeopathy: A case report, International Journal of Homoeopathic Sciences 2020; 4(3): 172-176

Barvalia P, Autism Spectrum Disorder: Holistic Homeopathy, Homœopathic Links 2011; 24(2): 92-96, DOI: 10.1055/s-0030-1271070

Fibert P, Relton C, Heirs M, Bowden D, A comparative consecutive case series of 20 children with a diagnosis of ADHD receiving homeopathic treatment, compared with 10 children receiving usual care, Homeopathy, 2016, Volume 105, Issue 2,Pages 194-201.

Van Haselen RA. Homeopathic clinical case reports: Development of a supplement (HOM-CASE) to the CARE clinical case reporting guideline. Complement Ther Med. 2016;25:78-85.

Eisen JL, Phillips KA, Baer L, Beer DA, Atala KD, Rasmussen SA. The Brown Assessment of Beliefs Scale: reliability and validity. Am J Psychiatry. 1998;155(1):102-108. doi:10.1176/ajp.155.1.102

Clark JH, A Dictionary of practical materia medica, Volume 1, Health science press, Rustington, Sussex England, 1962, p177.

Boericke W, Pocket Manual of Homoeopathic Materia Medica With Indian Medicine and Repertory, Reprint Edition: April 2003,(9) Mayur Jain Indian books and periodical publishers, p-79

Boger C M, A Synoptic Key Of the Materia Medica A Treatise of Homoeopathic Students Rearranged and Augmented Edition, 2007, B.Jain Publishers

Herring C, The Guiding Symptoms of Our Materia Medica, Volume II, B.Jain Publishers.


Refbacks

  • There are currently no refbacks.


                                                   International Journal of AYUSH (Ayurveda, Yoga, UnaniSiddha and Homeopathy)