Symptomatological Transversality and the Absence of Pathognomonic Symptoms in Psychiatry

Introduction The diagnosis of the main psychiatric syndromes is still almost exclusively phenotypic and depends essentially recognition characteristic signs symptoms. clinical evalution allows formulation a set differential diagnoses, according to pathological meaning certain symptomatic patterns combinations. Aside from entire dependence on interview, there are no complementary diagnostic exams it also worth noting absence pathognomonic Objectives Through presentation case patient with Bipolar Affective Disorder who manifests, during manic episode, Capgras delusion, we intend approach heterogeneity manifestation some symptoms that tend be specific concrete syndromes. Methods Clinical non-systematic literature review using Pubmed plataform. Results AB, female, 49 years old, diagnosed Disorder. Hospitalized for episode dysphoric mood, increased energy levels delusional activity grandiose persecutory content. During hospitalization, delusion centered husband emerged: he was replaced by stranger, I able detect him smell. misidentification syndrome characterized belief someone close has been an imposter. Despite being rare syndrome, vastly more common in schizophrenia, affecting about 73% cases, can occur other conditions such as dementia and, less often, mood disorders (16.7%). Additionally, several examples demonstrate versatility symptom occurrence different first-rank serving example. Described 1959 Kurt Schneider, they were considered assuming this based only one symptom. Over time, its character become extinct, detection acute psychotic disorder relatively common. Another example overlap between depressive anxious In fact, anxiety 85% patients turn, presence 90% disorder. This evidence allowed, over criteria these disorders, leading progressive blurring threshold them. Conclusions Psychiatric delicate task, totally dependent interview. lack analytical imaging tests, well symptoms, constitute particular challenge diagnosis. For reason, highlight importance recognizing combinations rather than specificity just Disclosure Interest None Declared