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 “witch” was doing so, but would not be able to point out the exact figure of “witch.” 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.
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