ABSTRACT
This chapter presents a case of a 53-year-old supply teacher who attends the psychiatric outpatient clinic with his wife. His wife says that his personality has 'changed completely' over the past 2 years. He has become increasingly suspicious and cantankerous. He often misplaces objects and then accuses her of stealing from him and has made similar accusations against close friends. His speech appears a little slurred at times but is coherent and relevant. He displays sudden jerky movements of his arms, shoulder and neck. There is no evidence of thought disorder. He is convinced that his wife and his friends have stolen money and a few of his personal objects. On cognitive examination, he appears a little confused about the date and time and is rather clumsy on motor tasks such as writing. Mini Mental State Examination reveals a score of 23/30 with losses on tasks of orientation, tasks of concentration, three-object recall and construction.
