Delusions of grandeur and the “manic” preacherBMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b4355 (Published 30 October 2009) Cite this as: BMJ 2009;339:b4355
- 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
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, …