Living with Persecutory Delusions

A Clinical Profile of a 52-Year-Old Male

Abstract

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This case report presents the clinical profile of a 52-year-old married Urdu-speaking Muslim male with persecutory delusions. The client's symptoms included auditory hallucinations, poverty of speech, and social anxiety, leading to significant distress and impaired functioning. The Growth, Anomalous Experience, and Formulation (GADF) model of persecutory delusions by Daniel Freeman et al. provided a conceptual framework for understanding and addressing the client's symptomatology. Formal and informal assessments, including Brief Psychiatric Rating Scale (BPRS), PANSS, mental state examination, and behavioral assessment, were utilized to propose the intervention plan.  The results showed suspiciousness and persecutory beliefs. Short-term goals were proposed to alleviate distress, improve sleep quality, and provide support, while long-term goals focused on challenging delusional beliefs, improving interpersonal relationships, and enhancing coping strategies. The case underscores the importance of a collaborative and holistic treatment approach to effectively manage persecutory delusions and enhance the client's long-term prognosis.