Monday, 5 October 2015

Nihilistic delusions | PGI MCQ for Medical PG Coaching & Preparations .. NIME

Nihilistic delusions” are seen in
A. Endogenous depression
B. Double depression
C. Depression in involutional stage
D. Cyclothymia
E. Dysthymia



Ans.  (A) Endogenous depression ; (B) Double depression [Niraj Ahuja’ Sth-73, 75]
• Nihilistic delusions e.g. “World is coming to end ; there is no brain in skul ; intestines have rooted away” with earlymoming insommia is typical of endogenous major depression.
* Double depression is a major depressive episode superimposed on an underlying dysthymia or neurotic depression (usually chronic).
* Nihilism also found in schizophrenia.