Capgras syndrome in clinical settings: an integrative review of case reports
DOI:
https://doi.org/10.25118/2763-9037.2026.v16.1557Keywords:
mental disorders, mental health, Capgras syndromeAbstract
Introduction: Delusional identification syndromes significantly impair the ability to recognize familiar people, objects, or places. Objective: To analyze, through case reports, the therapeutic strategies employed in the management of delusional identification syndromes, with an emphasis on Capgras Syndrome, the explanatory hypotheses adopted, the associated etiological and diagnostic contexts, as well as the complementary methods used in characterizing the disorder. Method: This is an integrative review of 11 case reports, evaluated according to CARE guidelines. Results: The etiology was multifactorial (psychotic, neurodegenerative, traumatic). Explanatory hypotheses were based on neurocognitive and psychodynamic models. Therapeutic management was guided by the etiology, combining pharmacotherapy (antipsychotics, with clozapine in resistant cases) and psychosocial interventions. Diagnostic investigation required a multimodal approach, including neuroimaging, toxicological tests, and clinical scales. Conclusion: Effective management requires an integrated approach, targeting the underlying cause, combining specific treatment, psychosocial support, and ongoing investigation.
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Copyright (c) 2026 Amanda Ferreira Gonçalves, José Humberto Alves , Andrea Ruzzi-Pereira
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