Huntington's Disease with Hallucinations and Delusions
This protocol covers the management of Huntington's disease in patients who present with psychotic features — specifically hallucinations and delusions.
Hallucinations are a perception without an object, to which the patient adheres and reacts as if the perception came from outside. Delusions are false beliefs based on incorrect inferences about external reality, considered within the patient's cultural and social context.
When pharmacological treatments fail to control these symptoms, the protocol details a specific interventional option — involving ECT in consultation with psychiatry — as a defined next step. The full guidance on when and how this applies is in the complete protocol.
Hallucinations are defined as a perception without an object, at which the subject adheres to and reacts as if the perception came from outside.
Delusions are false beliefs based on incorrect inferences about external reality, the cultural and social context to which the patient belongs.
If pharmacological treatments fail, the option of ECT can be discussed with psychiatrists (Grade C).