Abstract
Offering a new perspective on sleep state misperception, we discuss a patient who presented with sleep state misperception and was ultimately diagnosed with delusional disorder. A 60-year-old woman with chief complaints of insomnia, agitation, and suicidal ideation, was admitted to an inpatient psychiatric ward. Based on information from her family and a mental state examination, her primary diagnosis was sleep state misperception. She was treated with Trazodone. Because she was unresponsive to the treatment, a full psychiatric evaluation and wrist actigraphy report were undertaken, resulting in a revised diagnosis of delusional disorder. She was started on Olanzapine and, after 6 weeks was discharged with good improvement. Sleep state misperception might be considered not just as a sleep disorder, but also as a psychiatric disorder with psychotic symptoms. Further research is recommended.
Article Type
Case Report
First Page
110
Last Page
112
Recommended Citation
Khazaie, Habibolah; Rezaie, Leeba; Tahmasian, Masoud; and Schwebel, David C.
(2010)
"Insomnia treatment by Olanzapine. Is sleep state misperception a psychotic disorder?,"
Neurosciences: Vol. 15:
Iss.
2, Article 8.
DOI: https://doi.org/10.17712/1658-3183.1778