of hearing or has failing vision. The patient,
even prior to the illness is of a suspicious nature, with
poor adjustment with relatives and would have had few friends.
The patient may be seen muttering or talking to self. However,
there is no gross deterioration in personality as found in
schizophrenic illness. In a special variety of paraphrenia
the patient is deluded that he is infested with parasites
especially on the skin. This is known as 'Delusional parasitosis'
or 'Ekbom's syndrome'.
Physical examination reveals a sensory handicap
visual and/or auditory. Patients with paraphrenia usually
respond well to antipsychotic drugs and they can usually be
treated at the Primary Health Centre itself.
THE ABOVE LECTURE LASTED FOR TWO HOURS DIVIDED
INTO TWO SESSIONS. ONE CASE OF PARAPHRENIA, ONE CASE OF HYPOMANIA
AND THREE CASES OF DEPRESSION WERE DEMONSTRATED. THE ROLE
PLAYED BY THE PSYCHOSOCIAL FACTORS ESPECIALLY IN DEPRESSION
AND THE IMPORTANCE OF PSYCHOSOCIAL INTERVENTION WAS HIGHLIGHTED.