Indian Journal of PsychiatryIndian Journal of Psychiatry
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CASE REPORT
Year : 2017  |  Volume : 59  |  Issue : 4  |  Page : 496-498

Prolonged wahnstimmung (delusional mood) without development of a psychotic illness in a 50-year-old male


1 School of Medicine, Cardiff University, Cardiff, UK
2 Department of Liaison Psychiatry, BCULHB; Centre for Mental Health and Society, Bangor University, Bangor, Wales, UK; Department of Psychiatry, Mysore Medical College and Research Institute, Mysore, Karnataka, India

Correspondence Address:
Prof. Peter Lepping
Wrexham Maelor Hospital, Liaison Psychiatry, Heddfan Psychiatric Unit, Croesnewydd Road, Wrexham, LL13 7TD

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/psychiatry.IndianJPsychiatry_59_16

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Delusional mood, or Wahnstimmung, is a prodromal feature of an impending psychotic illness. In this case, the patient reports experiencing this sensation persistently since early childhood. This case suggests that Wahnstimmung may persist for years without developing into full psychosis. This is the first reported case of prolonged and persistent delusional mood in literature. It should be of interest to psychiatry professionals looking to investigate the prodromal phase of psychosis. This case is regarding a 50-year-old, Caucasian male. He presented to clinic with a feeling of excitement. Despite being referred for suicidal ideation, he described himself as “the happiest guy that I know. I wake up every morning feeling excited.” This original case should highlight the possibility of this phenomenon in other patients. Ultimately, an understanding of why patients may not progress to full psychotic illness may improve our understanding of protective factors in psychotic illnesses.



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