Clinical Lycanthropy (lycomania) in Neuropsychiatric Patients With Obstructive Sleep Apnea



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Clinical lycanthropy (or lycomania) is a zoanthropy (or therianthropy) that occurs when an individual believes that he or she is undergoing transformation into a wolf (Canis lupus). It is a rare, fascinating, and controversial phenomenon lost somewhere between the reverse intermetamorphosis subtype of delusional misidentification syndrome2 and culture-bound syndromes.

A 41-year-old man with a history of schizoaffective disorder since age 20 years was seen in an outpatient psychiatric consultation setting for intermediate insomnia, nocturnal agitation, and aggressiveness with auditory hallucinations, loud howling, and delusion of lycanthropy.

Prim Care Companion CNS Disord 2019;21(6):19l02449