Involutionary paranoid

- psychosis, first arising at the age of involution (reverse development) and characterized by delusions of small scale or everyday relationships.
The disease is characterized by the gradual development of persistent delusions against a background of clear consciousness and externally with respect to orderly behavior. The delusional concept involves people from the immediate circle (family members, neighbors, acquaintances) who are suspected of deliberately causing all sorts of troubles: sabotage, harassment, poisoning, damage. The delusional concept usually does not extend beyond the limits of narrow household relations, that's why it is called delirium of "small scale" or "everyday relations". Patients are convinced that neighbors spoil their belongings, they are taken secretly into the apartment, picking up keys and keys, pour salt, poisonous substances into the food, let the gas in under the door, and so on. To the neighbors there are suspicious persons who are conspiring with them. Everything is done for the specific purpose of "surviving" the patient from the apartment, causing material damage or harm to health. In this case, patients can interpret in a delirious way and their bodily sensations. For example, cough, palpitations are regarded as the result of gas poisoning, and gastric disorders, diarrhea - like poisoning poisons, podsypannymi in food. Patients are very active and persistent in defending their delusional beliefs and fighting with imaginary enemies. They arrange shadowing, hang on the door numerous locks, "seals", write complaints to various instances. Suppressed mood, unlike melancholy, does not happen.
Perhaps the development of delusions in terms of ideas of jealousy, more often in men. They are jealous of their neighbors in the apartment, in the country, in their colleagues. The most common facts are interpreted in the manner of a pobedovoy. For example, my wife and her neighbor talked through the fence, then I made an appointment, met an acquaintance on the street by chance
- A preplanned meeting. Creates a delusional system with an inadequate evaluation of past events (retrospective assessment). Patients with delusions of jealousy are socially dangerous, because Can try to deal with an imaginary lover or mistress, as well as with an object of jealousy (wife, husband). Outside the delusional sphere, patients retain social ties, orient themselves in everyday matters, and in some cases continue to work.
A distinctive feature of this disease is the late onset (after 50 years). The disease usually develops in a person prone to suspicion, punctuality, rigidity (stuckness), which later develop into conflict, hostility, vindictiveness. Even with prolonged course of the disease, there is no tendency to complicate delusional disorders, as is the case with schizophrenia, and dementia also does not occur, in contrast to senile psychoses. Difficulties in determining the disease usually occur at its initial stages, when delusional statements of patients are taken for ordinary household quarrels, conflicts. It is especially difficult to understand the situation in communal apartments, when real facts are interwoven with fictitious ones.
It is spent in a hospital. Neuroleptics (tryptazine, haloperidol) are used in combination with tranquilizers (seduxen, phenazepam). Treatment with hormonal drugs is ineffective and even contraindicated (the same applies to involuntary melancholy). The change of residence, sometimes recommended by doctors, brings only temporary relief. Patients for a while calm down, but then delusions are renewed (either the old themes come to life or they find new "enemies"). The prognosis with the timely begun treatment is favorable.