Palace of illusions: a psychotic episode weighed by royal delusions
Palace of illusions: a psychotic episode weighed by royal delusions

Summary/Abstract: This article describes the case of a 48-year-old female patient who was involuntary admitted by the authorities for a psychotic episode characterized by delusional ideas of grandeur, filiation and reference. The patient firmly believed that she was not only a member of the royal family of Monaco, but also had a special familial connection to the ruling dynasty. This case highlights the complexities of psychotic disorders and the presence of multiple delusional themes that can significantly impact an individual's perception of reality and functioning. These delusions profoundly affected the patient's daily life and interpersonal relationships. Her strong conviction in her royal filiation led to strained interactions with family members, who were unable to validate her claims. The patient's preoccupation with her imagined connection to the royal family overshadowed her personal responsibilities, causing disruptions in her overall functioning. This paper underscores the intricate nature of psychotic disorders and the multifaceted delusions that can arise within them. Understanding the interplay between these delusional themes is vital in guiding diagnosis and treatment strategies. By implementing a comprehensive approach that includes medication, psychotherapy, and a supportive environment, healthcare professionals can assist patients in regaining a more accurate perception of reality and improve overall functioning and well-being.

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