Delusional jealousy and person directed hostility: 5-year follow-up of a patient after anoxic brain injury

Abstract

Aim: This study presents a case report on the emergence of delusional jealousy and person-directed hostility in a patient following anoxic brain injury.

Case study: The patient did not have a pre-injury history of mental illness, nor a family history of a psychotic disorder. This patient was followed-up over a 5-year period and his history of treatment response, violence risk management and successful rehabilitation are presented. This study also highlights issues in relation to continuation of treatment with antipsychotic medication, use of compulsory admission under the Mental Health Act and principles of risk assessment and risk management.

• Brain injury
• delusional jealousy
• neuropsychiatry
• Othello syndrome
• risk assessment
• risk management
• violence

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.