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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Delusional Disorder

My husband has been actively completely out of character over the past week and has been paranoid, anxious and delusional. It was so sudden that I asked for health checks including a brain scan which was refused. I cannot leave him alone and now I m waiting for a psychiatric referral. Now for the fourth time in two days he has complained of a burnt toast smell. I ve just searched this and it suggests a brain injury. Is this true?
Wed, 8 Oct 2014
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Psychiatrist 's  Response
There are few things which i may clarify:
Delusional disorders are those in which person has delusions pertaining to only one life sphere. Rest of the behaviour is normal.
Delusion as a symptom can occur in many disorders like schizophrenia, depression, bipolar disorder and some others. But each of these disorders are accompanied by some other features.
Burnt toast smell can be a feature of some central nervous system pathology,so can be the delusion.
So i would advice you to go for a brain scan (MRI).
Treatment will depend on the MRI findings.
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Suggest Treatment For Delusional Disorder

There are few things which i may clarify: Delusional disorders are those in which person has delusions pertaining to only one life sphere. Rest of the behaviour is normal. Delusion as a symptom can occur in many disorders like schizophrenia, depression, bipolar disorder and some others. But each of these disorders are accompanied by some other features. Burnt toast smell can be a feature of some central nervous system pathology,so can be the delusion. So i would advice you to go for a brain scan (MRI). Treatment will depend on the MRI findings.