title: Delusion or obsession: clinical dilemma.
abstract: BACKGROUND
  A 52-year old lady presented for admission with severe depression characterised by suicidal ideation and delusional belief.
  
  
  METHODS
  Her treatment regime was reviewed and modified. The dilemma was whether she suffered from a psychotic depression with delusion or an obsessional disorder. She responded well to change of antipsychotic medication.
  
  
  CONCLUSIONS
  Her depression went in remission and her delusional belief decreased in intensity. She also gained reasonable insight into her problem. She is currently being followed up in the psychiatric outpatient clinic.
authors: Discipline of Psychiatry, Memorial University of Newfoundland, Newfoundland, Canada.
authors: Priya
authors: P
authors: Gandhi
authors: Amin Muhammad
authors: AM
authors: Gadit
mesh_terms: D000339:Affect / Q000187:drug effects; D000928:Antidepressive Agents / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D003702:Delusions / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D003865:Major Depressive Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D003937:Diagnosis, Differential; D057915:Drug Substitution; D005260:Female; D006801:Humans; D008875:Middle Aged; D009770:Obsessive Behavior / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D011237:Predictive Value of Tests; D012720:Severity of Illness Index; D059020:Suicidal Ideation; D016896:Treatment Outcome
chemical_list: D000928:Antidepressive Agents; D014150:Antipsychotic Agents