This video demonstrates discussion and explanation of morbid jealousy, in a CASC style format.
Scenario: Mr. Daniel Foster is a 34-year-old man with a diagnosis of delusional disorder characterized by morbid jealousy. He was previously admitted to a medium-secure unit after incidents of stalking and aggression related to his fixed and false belief that his partner was unfaithful. He was treated with antipsychotics and showed improvement but has recently relapsed with similar symptoms triggered by perceived evidence of infidelity. He has been observed monitoring his partner’s movements, checking her phone, and expressing hostile intentions towards a co-worker she knows. The clinical team plans to offer further treatment, possibly including admission, to manage his risk and symptoms. Please explain the diagnosis and management plan to his partner, Rosie Norton, addressing her concerns.
You can read our guide on Morbid Jealousy here: Morbid Jealousy | CASC – PsychPanda
You can find our full CASC video collection here: CASC Scenario Videos – PsychPanda
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Disclaimer: This video is intended for educational purposes only, targeted for the CASC exam – taken by psychiatry UK trainees in order to achieve membership of the Royal College of Psychiatrists. It should not be taken as clinical guidance or advice. It is also not intended to be an accurate portrayal of a real psychiatry consultation. For those revising for the CASC exam, this video should be used as a guidance and does not necessarily depict a gold-standard approach. Depending on when this video is viewed, information may be outdated.
Video Contributors:
Dr Damir Rafi is a Psychiatry Speciality Registrar in Forensic Psychiatry, currently working in London. He is the co-founder of PsychPanda.
Dr Rebecca Wilkinson is a Psychiatry Speciality Registrar, specialising in Child and Adolescent psychiatry. She is currently working in London.