When asked about his psychopathology, he ascribed the voices heard to one of his female teacher, who would express her love toward him in the conversations heard as part of the auditory hallucinations. At presentation, on mental status examination, he was untidy and ill-kempt, had blunt affect however, there was no formal thought disorder. He would now report lack of any such experience but was not sure about the previous experience being real or part of the illness.ДЄ 24-year-old male, who has been using cannabis in dependent pattern presented with an insidious onset and continuous illness of 2 years' duration, characterized by the delusion of reference, delusional percept, delusion of love, auditory (commenting, commanding, and discussing), and tactile hallucinations. He was started on aripiprazole which was increased up to 15 mg/day, with which all his symptoms including the phenomenon of succubus improved completely. His investigations in the form of haemogram, renal function test, liver function test, serum electrolytes, thyroid function test, electroencephalogram, and magnetic resonance imaging of brain did not reveal any abnormality. Based on the available information, a diagnosis of schizophrenia was considered. There was no history suggestive of narcolepsy, insomnia, hypersomnia, sleep terrors, nightmares, sleep-related movement disorders, and sleep paralysis symptoms suggestive of Dhat syndrome, panic attacks, posttraumatic stress disorder, cognitive deficits, and recent change in medications.

In his explanation, he had a strong belief that a вЂњwitchвЂќ was doing so, but would not be able to point out the exact figure of вЂњwitch.вЂќ His cognitive functions were intact and he had poor insight.

Very occasionally, he would get up from the sleep, after this experience and remain distressed and fearful. As per patient, he did not want this experience, this would happen against his will, would feel guilty about having such an experience and having sexual contact with an unknown female, and he was fully convinced about having such an experience. He would be able to feel his private parts being touched, leading to erection and ejaculation. In addition, the patient explained that at night, when he would go to his bed, he could feel the sensation of being touched by a female, whom he would describe as a good-looking woman. He described the phenomenon of auditory hallucination (commanding and discussing type) and thought broadcast. On mental status examination, the patient appeared to be very much distressed with his psychopathology. In addition to the symptoms listed, he elaborated about someone having sexual intercourse with him, against his will. A 18-year-old male, from middle socioeconomic status, who had no family history of any mental illness presented with an insidious onset and continuous illness of 3 years' duration, characterized by delusion of persecution, delusion of reference, delusion of grandiosity, delusion of control, auditory hallucination of commanding and discussing type, thought broadcast, apathy, poor self-care, and marked sociooccupational dysfunction.

Succubus meaning