Clinical Features of Delusional Disorder

A. The presence of a non-bizarre delusion is the cardinal feature of this disorder (ie, the delusion must be plausible).

B. Patient's thought processes and thought content are normal except when discussing the specific delusion.

C. Hallucinations are not prominent unless delusional disorder is of the somatic type. Cognition and sensorium are intact.

D. There is generally no disturbance of thought processes, such as loosening of associations or tangentiality.

E. The insight of patients into their illness is generally poor, and this disorder may cause significant impairment in social and occupational functioning.

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