As much as I tried, I found nothing wrong with her.
She was beautiful, amiable, and well dressed. She spoke with an air of confidence, obviously well educated - I would later learn she was a qualified pharmacist.
Let me call her Miss P - She was brought in by her aunt who insisted she was a nut case and should be admitted into the psych ward; Miss P however, insisted her aunt was evil and could not be trusted. Looking at the aunt I couldn't put that beyond her.
The story was straightforward (so I thought). Miss P's mom who was a widow, believed her relatives were evil - she believed this so strongly that she stayed away from any form of communication with them and discouraged any of them visiting.
The mom constantly related this belief to Miss P who subsequently developed the same belief and attitude towards their relatives. She went as far as locking herself indoors to prevent anyone seeing her.
Miss P claimed the relatives had evil intentions towards her mom and herself and she didn't want to have anything to do with them. Looking at the aunt who brought her, I could easily understand this.
However, in the course of my history taking , I learnt Miss P's mom had already been admitted into another psych hospital, this raised my suspicion.
Sensing something wrong somewhere,and getting tired of the back and forth accusations between Miss P and her aunt, I hobbled off to psych to hear what they thought.
Miss P was admitted.
She was admitted as a case of Shared Delusion.
Shared Delusions (Folie a deux).
This is a psychiatric disorder in which a false belief or delusion is firmly held by one person who shares this belief with another; the second person then develops the same false beliefs(delusions) as the first.
There is usually a dominant partner(the mom), with fixed delusions who induces same beliefs in a dependent partner (Miss P).
Treatment is for both individuals to be separated and managed accordingly.
With special thanks to B.A