Filler A memorable patient

Delusions of grandeur and the “manic” preacher

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b4355 (Published 30 October 2009) Cite this as: BMJ 2009;339:b4355
  1. Imad M Ali, consultant psychiatrist, Abertawe Bro Morgannwg University NHS Trust, and senior clinical undergraduate tutor, Swansea School of Medicine, Central Clinic, Trinity Buildings, Swansea SA1 5AT
  1. imad.ali{at}swansea-tr.wales.nhs.uk

    Len already had a 10 year history of bipolar affective disorder when he was admitted with a manic episode. The psychiatrist recorded numerous grandiose delusions: he claimed to hold world records associated with lying on a bed of nails and believed that he held black belts in several martial arts, managed a construction company, was a reverend, and had appeared on television.

    After treatment, …

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