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Mental status examination revealed poor grooming and hygiene, increased psychomotor activity, rapport not established, eye-to-eye contact established, but not maintained, with irritable affect, delusions of reference and persecution, elementary auditory hallucinations and insight grade I/V.
(1) Grandiose delusions are the third most common delusions after persecutory delusions and delusions of reference. Ben-Zeev et al (2) proposed that GDs may be a more stable state of mind that is predisposed by past life experiences or imaginations, and may be less associated with contextual triggers.