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  2. Mar 27, 2023 · A delusion is a fixed false belief based on an inaccurate interpretation of an external reality despite evidence to the contrary. The belief is not congruent with one’s culture or subculture, and almost everyone else knows it to be false.

    • Shawn M. Joseph, Waquar Siddiqui
    • 2023/03/27
    • LSU Health Sciences Center-Shreveport, UMKC
    • Overview
    • What is delusional disorder?
    • Symptoms
    • Causes
    • Treatment and prevention
    • Related and similar conditions
    • When to contact a doctor
    • Summary
    • GeneratedCaptionsTabForHeroSec

    A delusion is a belief based on an inaccurate interpretation of reality, despite clear evidence to the contrary. A delusional disorder causes a person to have delusional thoughts for a prolonged period.

    Delusional disorder is a mental illness. A person with delusional disorder has one or more delusional thoughts for 1 month or longer. Delusional thoughts do not have to be totally unbelievable or outside the realms of possibility, but they are often not based on reality.

    Delusional disorder is a mental illness that causes a person to have delusional thoughts for a prolonged period.

    A person with delusional disorder will have delusional thoughts that are not entirely bizarre or unrealistic. They are usually based on something that could possibly happen to the person in real life, such as someone following or deceiving them.

    A person with delusional disorder will not usually exhibit overtly bizarre behavior, and their delusions often do not affect their ability to function.

    Delusional disorder is a rare condition, with estimates suggesting that the probability of a person developing it during their lifetime is as low as 0.05–0.1%. The condition is equally prevalent across genders. It also has a later general onset than schizophrenia, with which it shares some characteristics.

    A person with delusional disorder will have illusory thoughts that contradict readily available evidence.

    Their delusions are usually not overtly bizarre and could be possible. However, there is often plenty of evidence to suggest that these thoughts are not based on reality.

    A person’s delusions often center on an inaccurate interpretation of an external reality.

    Some of the more common types of delusions are:

    •Delusional jealousy: A person may incorrectly think that their partner is being unfaithful.

    •Romantic: The individual may believe that another person is in love with them.

    The exact causes of delusional disorder are not well-understood. However, research suggests that various biological factors, including substance use, medical conditions, and neurological conditions, can cause delusions.

    It also indicates that hypersensitivity and ego defense mechanisms, such as reaction formation, projection, and denial, may be linked with delusional disorder.

    Treating delusional disorder is generally challenging. Doctors frequently use antipsychotic medications to treat the disorder, as well as psychological therapies such as cognitive behavioral therapy (CBT).

    However, there is some doubt over the effectiveness of these treatments. The authors of a 2015 study state that there is insufficient research to make evidence-based recommendations for treatments for delusional disorder.

    Schizophrenia

    The hallmark of schizophrenia is a disrupted thought process. This mental disorder also affects perceptions, social interactions, and emotional responsiveness. Schizophrenia can be severe and disabling. The symptoms of schizophrenia include: •hallucinations, delusions, and thought disorders •unusual ways of thinking •reduced expression of emotions •reduced motivation to accomplish goals •difficulty in social relationships •motor impairment •cognitive impairment Learn more about schizophrenia here.

    Obsessive-compulsive disorder (OCD)

    OCD is a long lasting, chronic disorder. A person with OCD often has recurring thoughts and obsessions, and they may also feel compelled to repeat certain behaviors. Common obsessions include: •fear of germs and contamination •unwanted thoughts regarding taboo subjects, such as harm or sex •aggressive thoughts toward other people and themself •having items in perfect order or placing them symmetrically Common compulsions and repetitive behaviors include: •excessive cleaning •excessive hand washing •placing items in a certain order or a precise, particular way •repeatedly checking things, such as whether the door is locked •compulsive counting Although many people may experience some of the above from time to time, a person with OCD generally cannot control their thoughts or behaviors, even if they recognize them to be excessive. Learn more about OCD here.

    Depression

    Depression is a very common mental illness and a leading cause of disability worldwide. Depression is more than occasionally feeling sad or unhappy. It is a serious mental health issue that requires both understanding and medical care. Common symptoms of depression include: •changes in sleep and appetite •the inability to concentrate •loss of energy and lack of interest in activities •a feeling of hopelessness •guilty thoughts •physical aches and pains •suicidal thoughts Delusional thoughts can sometimes occur with different mood episodes. Learn more about depression here.

    A person should seek medical help from a qualified professional as soon as possible if they or a loved one is experiencing delusions. Early intervention and mental health support can have a positive effect on the person’s outlook.

    Delusional disorder is a mental illness that causes a person to have delusional thoughts. Generally, these delusions are not overly bizarre or unrealistic. However, they are based on an inaccurate interpretation of reality.

    Most of the time, there is plenty of evidence available to suggest that the thoughts are not rooted in reality.

    Common delusions that a person may experience include the belief that someone is conspiring against them, becoming infatuated with them, or being unfaithful to them.

    Delusions can also occur due to other mental health issues, such as schizophrenia. A person should seek medical help right away if they or a loved one is experiencing delusions.

    Delusional disorder is a mental illness that causes a person to have delusional thoughts for a prolonged period. Learn about the types, causes, and treatments of delusional disorder, and how it differs from other similar conditions.

  3. Delusional disorder is a psychiatric condition characterized by firmly held false beliefs that persist for at least 1 month, without other symptoms of psychosis. Learn about the symptoms, signs, diagnosis, prognosis, and treatment of delusional disorder and its subtypes.

    • Carol Tamminga
  4. Delusional disorder is a mental health condition characterized by one or more firmly held false beliefs that persist for at least 1 month. Learn about the types, symptoms, diagnosis, prognosis and treatment of this disorder from the Merck Manuals.

    • Carol Tamminga
  5. 6 days ago · In delusional disorder, mood symptoms tend to be brief or absent, and unlike schizophrenia, delusions are usually non-bizarre, and hallucinations are minimal or absent. Interviews are important tools to obtain information about the patient’s life situation and past history to help make a diagnosis.

  6. Delusional disorder is one of the less common psychotic disorders, in which patients have delusions but not the other classical symptoms of schizophrenia (thought disorder, hallucinations, mood disturbance or flat affect).

  7. Sep 22, 2024 · Delusional disorders frequently occur alongside other mental health issues, such as depression, anxiety, or dysregulated behavior. It’s like trying to solve multiple puzzles at once, with pieces that sometimes overlap. The challenges in diagnosing delusional behavior are numerous.