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of hearing or has failing vision. The patient, even prior to the illness is of a suspicious nature, with poor adjustment with relatives and would have had few friends. The patient may be seen muttering or talking to self. However, there is no gross deterioration in personality as found in schizophrenic illness. In a special variety of paraphrenia the patient is deluded that he is infested with parasites especially on the skin. This is known as 'Delusional parasitosis' or 'Ekbom's syndrome'.

Physical examination reveals a sensory handicap visual and/or auditory. Patients with paraphrenia usually respond well to antipsychotic drugs and they can usually be treated at the Primary Health Centre itself.

THE ABOVE LECTURE LASTED FOR TWO HOURS DIVIDED INTO TWO SESSIONS. ONE CASE OF PARAPHRENIA, ONE CASE OF HYPOMANIA AND THREE CASES OF DEPRESSION WERE DEMONSTRATED. THE ROLE PLAYED BY THE PSYCHOSOCIAL FACTORS ESPECIALLY IN DEPRESSION AND THE IMPORTANCE OF PSYCHOSOCIAL INTERVENTION WAS HIGHLIGHTED.

-R. Ram

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