Somatic delusions are usually classified as either bizarre or non-bizarre. The latter refer to imagined conditions that bear a resemblance to real-world maladies ...ShortArticle-JournalofAgingandGeriatricPsychiatry(2017)Volume1,Issue1UniqueSomaticDelusionsinaSchizoaffectivePatientSartajSBrarKaweahDeltaHealthCareDistrict,USAVisitformorerelatedarticlesatJournalofAgingandGeriatricPsychiatryIntroductionSomaticdelusionsarenotthemostcommontypeofdelusion,buttheycanbeamongthemostpersistent.Peoplewithsomaticdelusionsarecompletelyconvincedthereissomethingmedically,physically,orbiologicallywrongwiththem,andtheirbeliefissostrongandsinceretheywillexperiencearangeof“symptoms”thatverifytheirworstfears.Somaticsymptomdisorderisoneofsixdelusionaldisordersrecognizedbymedicalauthorities,anditisoneoftheprimarycausesofsomaticdelusions.Butsomaticdelusionscanalsoappearduringepisodesofpsychosis,whichcanmanifestinconnectionwithawiderangeofpsychiatricdisorders.Tothosewhohavethem,somaticdelusionsareasrealasanyothertypeofinjuryorillness.Forreasonsthatremainobscure,peoplewithsomaticdelusionsbecomeconvincedtheirorgansaredamagedormalfunctioning,orthattheyaresufferingfromsometypeofhiddenmalady,orthattheirphysicalappearancehassomehowbeenalteredordistorted.Overtime,theirconcernmaygrowtothepointthattheywilldevelopaches,pains,andothersensationsthatseemtoverifytheirworstfears.Somaticdelusionsareusuallyclassifiedaseitherbizarreornon-bizarre.Thelatterrefertoimaginedconditionsthatbeararesemblancetoreal-worldmaladiesexperiencedbyrealpeople,whiletheformerinvolveimpossiblescenariosthathavenogroundinginscience.Manysomaticdelusionsskirtthelinebetweenbizarreandnon-bizarre,however,limitingthevalueofthisformalclassificationscheme.Peoplewithsomaticdelusionsmayspendmonthsorevenyearsgoingfromphysiciantophysician,fromspecialisttospecialist,searchingforconfirmationoftherealityoftheirconditions—confirmationthatnevercomes.Background&MotivationThisisacaseofamalepre-trialinmateinhis30’sadmittedintoapsychiatrichospitaldueto