EpistemisDelusional jealousy
Specialty: Psychiatry.
Why it occurs
- Chronic delusional disorder (jealousy type)
- Paranoid schizophrenia
- Chronic alcoholism (typically associated with delirium of alcoholic jealousy)
- Alzheimer or vascular type dementia
- Paranoid or borderline personality disorder in decompensated phase
- Parkinsonism treated with high doses of dopamine agonists
Initial workup
Psychiatric evaluation of the risk of violence; Brain MRI if onset late in life; complete cognitive profile to rule out dementia; screening for alcohol consumption.
red flags
High risk of domestic violence and feminicide/homicide of the partner or alleged lovers, extreme physical or digital harassment, use of violence to force "confessions."
Standard management
- Risperidone or Paliperidone — atypical antipsychotics with good response rate in the control of jealousy delirium
- Haloperidol — if rapid control of impulsivity is required
- Disulfiram or Acamprosate — for the treatment of alcoholism if this is the underlying cause
- Adjustment of dopamine agonists if it appears in patients with Parkinson's.
Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.
- Area
- Psychiatry
- Listed causes
- 6
- Treatment options
- 4