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CAPGRAS SOMETIMES GOES AWAY WITH TREATMENT

Elderly man taking his wife's hand at a sunlit kitchen window beside a glowing pill bottle, vivid blue palette

Did You Know That Capgras Sometimes Goes Away With Treatment?

People With It Believe A Loved One Was Replaced By An Impostor

Usually This Is Someone From Their Own Family

Capgras Is Rare And Its Causes Are Still Poorly Understood

Researchers At The Mayo Clinic Looked Back At 204 Patients With It

Most Of Them Had A Disease That Slowly Damages The Brain

Some Of Those Patients Were Given A Type Of Drug Used For Dementia

Capgras Improved In 15 Percent Of The 82 Who Took It

THIS NEWSLETTER IS FOR INFORMATIONAL PURPOSES ONLY. NOTHING IN THIS CONTENT CONSTITUTES MEDICAL, PSYCHOLOGICAL, OR PROFESSIONAL ADVICE. ALWAYS CONSULT A QUALIFIED HEALTHCARE PROFESSIONAL BEFORE MAKING ANY HEALTH RELATED DECISIONS.

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WHAT THE DEMENTIA REVIEW FOUND 📊

A Man In His Early 80s With Lewy Body Dementia Developed Capgras

His Doctors Worked At A Cleveland Clinic Hospital In Ohio

Treating Him Was Difficult At First

He Struggled To Find Words And His Thoughts Would Suddenly Stop

Doctors Gave Him A Dementia Drug Called Rivastigmine

His Capgras Symptoms Went Away Completely

The Doctors Think Similar Drugs May Help In Lewy Body Dementia

One Case Cannot Show How Often That Happens

A Review Gathered Case Studies Of Capgras In Dementia

Its Authors Searched Four Medical Databases In March 2023

Twenty Six Studies Met Their Criteria

After Drug Treatment Capgras Lifted In 28 Percent Of Cases

Another 28 Percent Improved

Symptoms Got Worse In 7 Percent

No Change Was Seen In 10.7 Percent

Most Of The Drugs Used Were Antipsychotics

The Authors Noted Limited Benefits And Significant Risks

They Also Found Almost No Studies Of Treatment Without Drugs

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WHEN DOCTORS TREATED ANOTHER ILLNESS 🩺

A Woman Developed Capgras While Her Thyroid Was Underactive

Doctors Gave Her Thyroid Hormone

Her Psychosis Resolved Rapidly

Psychosis From An Underactive Thyroid Was Once Called Myxedema Madness

Up To 15 Percent Of Patients With Thyroid Symptoms May Develop It

Very Few Capgras Cases Like Hers Have Been Reported

An 87 Year Old Man Developed Capgras During A Long Seizure

It Was The Kind Of Seizure That Causes No Convulsions

He Also Stopped Paying Attention To One Side Of Space

Once His Seizures Were Treated Both Problems Resolved

Another Case Improved After A Change Of Drug

One Woman Had Capgras Episodes Alongside Long Term Psychosis

Standard Antipsychotic Drugs Had Not Helped Her

Doctors Tried A Different Drug Called Clorazepate

Her Psychotic Symptoms Went Into Complete Remission

It Was The First Time In 19 Years

When She Stopped Taking It The Symptoms Came Back

Each Of These Is A Single Case Report

None Of Them Shows How Often Treatment Works

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THE DELUSION THAT ENDED ON ITS OWN ❓

A Man With Lewy Body Dementia Believed His Wife Had Been Replaced

They Had Been Married For Over 50 Years

He Said Several Similar Looking Impostors Had Taken Her Place

Unusually He Was Friendly Toward The Impostors

The Authors Described That Reaction As Convivial

Later The Delusion Went Away On Its Own

It Ended At The Same Time His Dementia Got Worse

The Dementia Review Found A Wider Problem

Capgras In Dementia Is Not Diagnosed Or Treated In A Standard Way

Some Patients Did Well On Particular Drugs

Others Did Not Respond Or Got Worse

The Authors Concluded No Single Treatment Works For Everyone

They Called For Standard Diagnostic Criteria

Consistent Ways To Measure Outcomes Are Needed Too

They Said These Are Needed To Judge Which Treatments Work

Capgras Has Significant Negative Effects On These Patients

It Also Has Negative Effects On Their Carers

Earlier Research Had Linked Capgras To Aggression

The End

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