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Psychiatry Miscellaneous bd045cd0

A 60-year-old man whose wife passed away 3 months back now believes his intestines have rotten away and that he is responsible for the death of his wife and should be sent to prison. Likely diagnosis is

A
Delusional disorder
B
Psychotic depression
C
Grief psychosis
D
Schizophrenia
High-Yield Explanation
(B) Psychotic depression > DSM-IV-TR Criteria for Major Depressive Episode> "The symptoms are not better accounted for by bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation...."> DSM-IV-TR Criteria for Severity/Psychotic/ Remission Specifiers for Current (or Most Recent) Major Depressive Episode> Mood-congruent psychotic features : Delusions or hallucinations whose content is entirely consistent with the typical depressive themes of personal inadequacy, guilt, disease, death, nihilism, or deserved punishment...."

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