Case Presentation
The patient is a 41-year-old married Caucasian woman who
presented at the request of her husband due to his concern for
worsening persecutory delusions in the setting of recent antipsychotic
changes and suspected medication nonadherence. The patient’s past
psychiatric history was notable for ADHD diagnosed in childhood.
There was no family history of psychiatric disorders. Two years
prior to current admission, the patient developed delusional beliefs
that her husband worked for the NSA and that she and her children
were being targeted by the government. She was convinced that she
was kept under constant surveillance, her phone was tapped, her car
was tailed, and that bugs were planted in her home. Moreover, she
believed that her husband was conspiring with the government to
have her hospitalized in order to rid her of credibility in the event
that she decided to expose the conspiracy.