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Delusional disorder is a type of mental health condition in which a person can't tell what's real from what's imagined. There are many types, including persecutory, jealous and grandiose types. It's treatable with psychotherapy and medication.
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Learn More »Overview What is delusional disorder? Delusional disorder is a type of psychotic disorder. Its main symptom is the presence of one or more delusions. A delusion is an unshakable belief in something that’s untrue. The belief isn’t a part of the person’s culture or subculture, and almost everyone else knows this belief to be false. People with delusional disorder often experience non-bizarre delusions. Non-bizarre delusions involve situations that could possibly occur in real life, such as being followed, deceived or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences. In reality, these situations are either untrue or are highly exaggerated. Non-bizarre delusions are different from bizarre delusions, which include beliefs that are impossible in our reality, such as believing someone has removed an organ from your body without any physical evidence of the procedure. People with delusional disorder often continue to socialize and function well, apart from the subject of their delusion. Generally, they don’t behave in an odd or unusual manner. This is unlike people with other psychotic disorders, who might also have delusions as a symptom. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted. What are the types of delusional disorder? There are different types of delusional disorder, which are determined based on the main theme of the delusions the person experiences. The types of delusional disorder include: Erotomanic : People with this type of delusional disorder believe that another person, often someone important or famous, is in love with them. They may attempt to contact the person of the delusion and engage in stalking behavior. : People with this type of delusional disorder believe that another person, often someone important or famous, is in love with them. They may attempt to contact the person of the delusion and engage in stalking behavior. Grandiose : People with this type of delusional disorder have an overinflated sense of self-worth, power, knowledge or identity. They may believe they have a great talent or have made an important discovery. : People with this type of delusional disorder have an overinflated sense of self-worth, power, knowledge or identity. They may believe they have a great talent or have made an important discovery. Jealous : People with this type of delusional disorder believe that their spouse or sexual partner is unfaithful without any concrete evidence. : People with this type of delusional disorder believe that their spouse or sexual partner is unfaithful without any concrete evidence. Persecutory : People with this type of delusional disorder believe someone or something is mistreating, spying on or attempting to harm them (or someone close to them). People with this type of delusional disorder may make repeated complaints to legal authorities. : People with this type of delusional disorder believe someone or something is mistreating, spying on or attempting to harm them (or someone close to them). People with this type of delusional disorder may make repeated complaints to legal authorities. Somatic : People with this type of delusional disorder believe that they have a physical issue or medical problem, such as a parasite or a bad odor. : People with this type of delusional disorder believe that they have a physical issue or medical problem, such as a parasite or a bad odor. Mixed: People with this type of delusional disorder have two or more of the types of delusions listed above. What is the difference between delusional disorder and schizophrenia? Schizophrenia is a spectrum (or range) of conditions that involve psychotic symptoms, which include: Disorganized speech or behavior. Negative symptoms (a decrease in emotion in a person’s facial expressions and motivation). Delusional disorder is different from schizophrenia because there aren’t any other psychotic symptoms other than delusions. In addition, in contrast to schizophrenia, delusional disorder is relatively rare, and daily functioning isn’t as impaired as it is in schizophrenia. Who does delusional disorder affect? Delusional disorder most often occurs in middle to late life, with the average age of onset being 40 years. The persecutory and jealous types of delusional disorder are more common in people assigned male at birth (AMAB), and the erotomanic type is more common in people assigned female at birth (AFAB). People who tend to be socially isolated are more likely to develop delusional disorder. These populations include: Immigrants who have language barriers.
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Learn More »: This is a structured, goal-oriented type of therapy. A mental health professional helps people take a close look at their thoughts and emotions. They’ll come to understand how their thoughts affect their actions. Through CBT, they can unlearn negative thoughts and behaviors and learn to adopt healthier thinking patterns and habits. Family-focused therapy: This therapy can help people with delusional disorder and their families. This treatment involves psychoeducation regarding delusional disorder, communication improvement training and problem-solving skills training. Medications for delusional disorder The primary medications used to help treat delusional disorder are called antipsychotics (neuroleptics). Medications include the following: First-generation (“typical”) antipsychotics : Healthcare providers have used these medications to treat mental health conditions since the mid-1950s. These medicines work by blocking dopamine receptors in your brain. Dopamine is a neurotransmitter believed to be involved in the development of delusions. First-generation antipsychotics include chlorpromazine (Thorazine®), fluphenazine (Prolixin®), haloperidol (Haldol®), thiothixene (Navane®), trifluoperazine (Stelazine®), perphenazine (Trilafon®) and thioridazine (Mellaril®). : Healthcare providers have used these medications to treat mental health conditions since the mid-1950s. These medicines work by blocking dopamine receptors in your brain. Dopamine is a neurotransmitter believed to be involved in the development of delusions. First-generation antipsychotics include chlorpromazine (Thorazine®), fluphenazine (Prolixin®), haloperidol (Haldol®), thiothixene (Navane®), trifluoperazine (Stelazine®), perphenazine (Trilafon®) and thioridazine (Mellaril®). Second-generation (“atypical”) antipsychotics: These newer antipsychotics are also effective in treating the symptoms of delusional disorder. They work by blocking dopamine and serotonin receptors in your brain. These drugs include risperidone (Risperdal®), clozapine (Clozaril®), quetiapine (Seroquel®), ziprasidone (Geodon®) and olanzapine (Zyprexa®). These medications are usually better tolerated than first-generation antipsychotics. Other medications that healthcare providers might prescribe to treat delusional disorder include anxiolytics and antidepressants. Anxiolytics might help if the person has a very high level of anxiety and/or problems sleeping. Antidepressants can help treat depression, which often occurs in people with delusional disorder. Prevention Can delusional disorder be prevented? There’s no known way to prevent delusional disorder. However, early diagnosis and treatment can help decrease the disruption to the person’s life, family and friendships. Outlook / Prognosis What is the prognosis (outlook) for delusional disorder? The prognosis (outlook) for people with delusional disorder varies depending on a few factors, including: The type of delusional disorder.
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