How to recognize delusional disorders

This article was co-authored by Dr. Padam Bhatia. Dr. Padam Bhatia is a board-certified psychiatrist operating Elevate Psychiatry based in Miami, Florida. He specializes in treating patients with a combination of traditional medicine and evidence-based holistic therapies. He also specializes in electroconvulsive therapy (ECT), transcranial magnetic stimulation (TMS), compassion, and complementary and alternative medicine (CAM). Dr. Bhatia is a diplomat of the American Council of Psychiatry and Neurology and a member of the American Psychiatric Association (FAPA). He earned his Ph. D. from Sidney Kimmel Medical College and served as Principal Adult Psychiatry Resident at Zucker Hillside Hospital in New York City.

This article mentions 14 links that can be found at the bottom of the page.

wikiHow marks an article as Reader Approved when it receives enough positive feedback. In this case, several readers wrote to tell us that this article was helpful to them, earning reader approval status.

This article has been viewed 352,633 times.

Delusional disorder is about holding firm beliefs that are downright false but remain plausible to the patient. In addition, the sufferer strongly believes in them. Delusional disorder is not the form of schizophrenia it is often confused with. Instead, delusions include situations that can occur in an individual for at least a month or more, and these beliefs generally appear normal to the patient. In general, a person’s behavior is usually normal, with the exception of the delusional component. There are several types of delusional disorder, including erotomaniac, imposing, jealous, stalking, and somatic. As you learn more about these ailments, remember that the mind is an amazing force and is capable of many strange images that seem very real to the person imagining them.

Working with delusions is similar to hallucinations, except that more non-verbal techniques are needed. You will have to be silent longer and with more patience because disappointments never go away. A person may not verbally express them as often, but they are usually ubiquitous.

1. Establish a trusting, interpersonal relationship

  • Don’t argue, argue, or question the illusion. Trying to dispel an illusion is not helpful and will create distrust.
  • Reassure the person that they are safe and that nothing will happen.
    Don’t leave the person alone: ​​always use openness and honesty.
  • Encourage the person to put into words feelings of anxiety, fear and insecurity – offer assistance and protection to prevent harm to oneself or others.
  • Communicate your acceptance of the need for a false belief.
  • Focus on building trust with the person, not controlling their symptoms – stay calm.

2. Identify the content and/or type of delusion

  • Feel inside that person and try to understand the purpose behind the illusion.
  • Paraphrase what the person says or tries to say to clear up any misunderstandings about the illusion they are describing.
  • By not agreeing or arguing, you question the logic or reasoning behind the illusion. For example: “If you are harassed by the CIA, who is your contact person?”
  • Do not confirm or fuel an illusion by asking questions about it when the person is not in psychosis. For example: NEVER ask, “How’s the CIA today?” when a person is healthy.
  • Determine what the main argument might be.
  • Identify the main feeling and / or tone of the delusion.

3. Investigate how the delusion is affecting the person’s life

  • Assess if and how the delusions are interfering with a person’s life. For example, are they no longer able to function or participate in normal everyday life?
  • Consider whether the delusion affects the person’s relationship with others.
  • Determine whether the person acted on their disappointments.

4. Assess the intensity, frequency, and duration of the delusion

  • Keep a journal that documents the intensity, frequency, and duration of a person’s disappointments.
  • Determine if their disappointments tend to occur at a certain time of day or are related to certain activities or activities. This will help you find ways to avoid situations that can cause paranoia or disappointment.
  • Some delusions are fleeting and short, while others are more lasting and last a long time.

5. Attempt to redirect or distract the person from their delusion

  • Does this person always greet you with illusion? If so, listen silently and then give direction to the task.
  • If the person seems to be unable to stop talking about disappointment, ask politely if they remember what you did and if it’s time to pick it up again.
  • If the person is very determined to tell you about an illusion, listen quietly until further discussion is needed.
  • Remember that it is helpful to reassure that person during the illusion that they are fine as a person.

Ways to cope with someone who has delusions

Try to offer empathy and focus on the emotions the person is experiencing. Discussing facts and details can silence a person and see you as a judgmental person. By offering support with no judgement that doesn’t confirm or deny the delusion, the person may feel consoled and trust that you care for them. Some things to keep in mind when talking to the person:

1. Pay attention to the person’s emotions

2. Discuss how you view the illusion

3. Express that you are worried about the person

4. Propose to conduct therapy together, but be strategic

5. Ask the person why he believes the person does and be open-minded

6. Avoid frustration and express it to the person

7. Find out about cognitive distortions or thinking errors

8. Involvement of the model in reality testing

The information on these strategies comes from an article by Tamara Hill on PsychCentral, an independent mental health website with information and content curated and created by mental health professionals.

Lack of reasoning.

Illusions are fixed and false personal beliefs that are immune to change in the light of conflicting evidence. Delusions are the extreme case of irrational belief. These beliefs are obsessive and cause emotional distress.

Imaginary faith is very important to those who have it. Therefore, they are blind to the evidence, because they do not want to change their faith. For example, when we are passionate about the superiority of our favorite political candidate, we tend to stick to that belief despite mounting counter-proofs / arguments.

Illusions exist on a continuum with irrational beliefs (Bortolotti, 2010). Even some otherwise rational people seem to believe bizarre things that aren’t real. To some extent, we are all sensitive to being watched, spoken to, or deceived by someone. For example, approximately 10-15% of the general population regularly experience paranoid thoughts associated with suspicion and distrust of others (Freeman, 2008).

To clear up any illusions, we need to answer two questions (McKay, 2007). The first question is: what ever made you think of an imaginary idea? The second question is why hasn’t this idea been rejected when the person has so much evidence against the truth about him?

The two-process decision framework can provide some insight into delusional belief theory (Kahneman, 2011). This picture suggests two systems of thought. Most of our thoughts are System 1 (intuitive) thoughts that provide quick and automatic answers to decision dilemmas. On the contrary, System 2 is slow, much more analytical, demanding and aware in its approach to the decision-making task.

Delusional reasoning can be described as an excessive dependence on instinctive thinking (fast and non-reflexive) and an insufficient dependence on analytical thinking (prudent, effortless). Delusional people tend to make rash judgments and can make quick decisions based on little evidence. They quickly jump to conclusions because they want a permanent solution to the problem. For example, a person may watch two whispers and quickly conclude that they are conspiring against him.

System 2 in the intact mind is responsible for evaluating and creating beliefs. The assessment of faith involves a system 2 which inhibits reflex responses. We all think strange ideas, but we prevent them, using a strange belief, using a reflective mind (System 2). For example, a person might hear a crackling sound when he uses a phone and assume that the connection is just bad. However, another person may hear the crackle and believe their phone has been wiretapped so that someone else can eavesdrop on their conversation.

The tendency to return to System 1 thinking may result from the exhaustion of cognitive resources caused by suffering (De Neys, 2006). When cognitive resources are depleted, people tend to act on System 1 (impulse) and lose the ability to reflect. For example, addiction to rash judgment can be aggravated by fear that compromises System 2 thinking. We become more prone to conspiracy theories when we feel that events are complex or beyond our control. We see causal patterns and relationships that are not there. And we quickly decide on a single interpretation (e. g., Big events like economic recessions and the outcomes of elections are controlleddsmall groups of people) (Miller, et al., 2016).

Cognitive behavioral therapy (CBT) can be effective in treating delusions by encouraging patients to evaluate their own beliefs. The aim is to promote the analytical reasoning of System 2 to modify specific conclusions drawn from the processes of System 1 (Galbraith, 2015). The essence of this therapeutic technique is to ask people to evaluate their ideas and consider if there is another way of looking at the situation.

Bortolotti L. (2010). Illusions and other irrational beliefs. The Oxford University Press.

DeNeys In (2006) Double elaboration in reasoning: two systems but one inferior. Psychological sciences; 17 (5): 428-33.

Freeman D., & Freeman J. (2008). Paranoia: the fear of the 21st century. Oxford, Anglia: The Oxford University Press.

Galbraith Niall (Editor) (2015). Abnormal beliefs and reasoning. Psychological press

Kahneman Daniel (2011) Thinking, fast and slow, Farrar, Straus and Giroux

McKay R., Robyn Langdon and Max Coltheart, (2007). Models of disbelief: integration of the theories of motivational and deficit delusion. Consciousness and cognition, 16 (4), 932-941.

Miller, Joanne M., Kyle L. Saunders, and Christina E. Farhart. (2016). “Conspiracy Confirmation as Reasoned Reasoning: Moderating the Roles of Political Knowledge and Trust”. American Journal of Political Science, 60 (4): 824-244

Forum rules
It is a support forum for the family, partners and friends of people with mental health problems. This forum is intended to be a safe place to discuss information, give and receive support, and learn about all matters relating to contact with the person with the disorder. While it can be healthy to express different emotions, make sure you are respectful of the disorder itself. This is a place for constructive discussion, not a forum for airing.

Problems experienced by significant others with the disorder may not always be discussed elsewhere on the site in a way that doesn’t trigger those with the disorder. Moderators are then free to move discussions from other forums to this one as they see fit.

A spouse with delusional disorder

dmerciless52»December 20, 2009 19:28

Thank God for the Internet and this forum.

In the past three or four weeks, I’ve digested volumes on the subject of Delusional Disorder, butdchance, I found this board and read a number of the posts.

At first I thought my wife’s insistence on smelling bad smells was due to sinus infections and allergies. I have the same problems and I can attest that I can smell the scents that are really in your head. Even though she swore she emitted unpleasant odors from various parts of her body that I conscientiously sniffed up close and personally, I tried to convince her that she was all right and that it must be her sinuses.

When she started accusing me of having sex with every woman we know, including all of her relatives (dead and alive), I thought it was because of her jealousy and insecurity.

When she got sick the day after eating what I cooked and I swore I poisoned her the day before, I learned two phrases not to use: “It’s all in your head.” and “Take it easy”. They became the kind of battle cry that fueled her anger like I’d never seen her before.

When she started confronting women about having relationships with me and confronting other people for spying on her, I began to kindly refer her to a psychologist. It was out of the question because there was nothing wrong with her. The problem was me. I was just lying there. I was lying all the time. I was the son of Satan and God will punish me and my evil cohorts. I told her she was right and I needed help. I asked her to accompany me. don’t lie to the doctor. She agreed.

In the first session I asked how to convince my wife that there was no bad smell to embarrass. She broke off with a long explanation. The doctor didn’t understand this and seemed a bit confused by our disagreement about body odors. He said if anyone knew my wife’s body, it would be her.

Three sessions later, I asked the doctor to help me stop spying and conspiring with others to spy on her and destroy her. She took the bait and jumped into her. When she questioned her unreasonable suspicions as facts, she even explained that I was the son of Satan and she was a daughter of God. Eureka! She made it. He started questioning her and slowly I saw a mask of anger on her face. She stopped and looked at him as she had done with me so many times. Why was he questioning her? I was sick! True to form, she accused him of being on my side. When he told her that she suspected she should be tested for “delusional disorder”, her proverbial saliva hit the fan. She was furious with anger she suspects that she usually reserved her just for me. He should feel honored. She called him an ignorant charlatan and ran out of her office. Of course, when I got to the car, it was hell to pay. I was fixing it. I have a doctor who was part of a plot against you.
Per inciso, questa è stata la prima volta che ricordo di aver sentito il termine "disturbo delirante".

When a family counselor recently told me that experts seem to believe that delusional disorder is biological, I agree. As I look back over the past thirty years with my Lady of Love, I remember the subtle signs and the occasional episodes that flashed and faded. I remember so many conclusions, so many lines between the lines and so many false accusations. She is returning before we met because I remember the story of how she did not get along with some of her colleagues and neighbors.

But we were peas and carrots, George and Louise Jefferson, Ricky and Lucy Ricardo (sp), sun and moon, sea and wind. We were a match. We were gloves that fit perfectly together. Unfortunately, this perfect relationship was tainted with so many allegations of infidelity that I foolishly dismissed as pure failed jealousy. Gdzieś po drodze pojawiły się te oskarżenia, że ​​wraz z mnóstwem współspiskowców próbowałem ją otruć i w inny sposób zniszczyć.

Months ago, it would have disappeared. Always someone who thought he was sheltering a woman in danger. It didn’t take long to realize that they were dealing with a woman in need, and somehow they would always contact us, her family. In his absence, he not only paid for the transportation for the kindergarten plane, but also for the hotel rooms and pre-paid people to drive a rented truck and transport his car on a trailer for relatives at six. states away. I found out one day when a frail elderly lady who had never driven a truck or towed a trailer showed up to do a job she had been paid for upfront. Instead of risking my wife’s life and health to escape imaginary dangers, I safely escorted her to her relatives as she dealt with her for her evaluation and treatment. It became clear that there was nothing I could legally do to force her to seek treatment.

Of course, his fictional enemies’ previous attempts did not go cheap. To finance these attempts, he wreaked havoc on our life savings and ran out of all our credit cards. So I have our house on the market, hoping it will be sold before forcing myself into bankruptcy and / or foreclosure. However, it doesn’t matter.

What matters is that I get the woman that I’ve loved and been loveddfor thirty years back. total. From what a family counselor tells me, there is only a seven percent chance of it happening. Because my Lady of Love will most likely have the illusion that our children, friends, neighbors and I intend to destroy her.

Please somebody pack me on the shoulder and whisper in my ear that this is all a lie. Please tell me this hellish nightmare will end and I will have my Lady Love back. total. Please.

Disappointments are constant beliefs that don’t change, even when the person has conflicting evidence. Disappointments are considered “bizarre” if they are clearly unbelievable and cannot be understood by people of the same culture. An example of a bizarre delusion is the belief that his organs have been replaced by someone else’s, leaving no wounds or scars behind. An example of a bizarre delusion is the belief that someone is under police surveillance despite a lack of evidence.

Delusional disorder refers to a condition in which an individual exhibits one or more delusions for a month or more. Delusional disorder is different from schizophrenia and cannot be diagnosed if a person meets the criteria for schizophrenia. If a person has delusional disorder, functioning is generally not impaired and the behavior is obviously not strange, with the exception of delusions. I delusions possono sembrare plausibili a prima vista e i pazienti possono apparire normali fintanto che un estraneo non solleva i loro argomenti deliranti. Furthermore, these delusions are not caused by a medical condition or substance abuse.

There are several types of delusional disorder, each capturing a specific theme in a person’s delusions.

  • Erotomaniac: A person believes that a person, usually of higher social rank, is in love with him.
  • Great: The person believes that they have great but unrecognized talent or intuition, a special identity, knowledge, power, self-esteem, or relationship with someone famous or with God.
  • Jealous: The person believes that their partner has been unfaithful.
  • Harassment: The person believes he is being cheated, spied on, drugged, persecuted, slandered, or mistreated in some way.
  • Somatic: The person believes they are experiencing physical sensations or bodily dysfunctions, such as bad smells or insects crawling on or under the skin, or is suffering from a general medical condition or defect.
  • Mixed: An individual exhibits delusions that are characterized more than one of the above types, but no one theme dominates.
  • Indefinite: The individual’s delusions do not fit into the categories described or cannot be clearly identified.

The most common type of delusional disorder is stalking. Even so, the condition is rare and it is estimated that 0.2% of people experience it at some point in their life. Delusional disorder is equally likely in men and women. Onset can range from adolescence to late adulthood, but usually appears later in life.


The main feature of a delusional disorder is the presence of one or more delusions that persist for at least a month. Queste delusioni possono essere considerate bizzarre se chiaramente non sono possibili e i loro coetanei della stessa cultura non possono capirle. Alternatively, bizarre delusions reflect situations that occur in real life but don’t actually occur in the life of a delusional person.

People with delusional disorder tend to function well outside of their delusions and do not exhibit markedly weird or bizarre behavior. in duration in relation to delusional periods. Furthermore, the delusions cannot be attributed to the effects of the substance or other medical conditions.

Anger and aggressive behavior can be present when someone experiences persecutory, jealous, or erotomaniacal delusions. In general, people with delusional disorders are unable to accept that their delusions are irrational or inaccurate, even though they are able to recognize that other people would describe their delusions that way.

to know more


Delusional disorder is a rare and difficult condition to investigate; consequently, it is not widely discussed in clinical trials. Although the cause is unknown, some research suggests that people develop delusions as a way to cope with extreme stress or to cope with a history of trauma. Genetics can also contribute to the development of a delusional disorder. People with a family history of schizophrenia or schizotypal personality disorder are more likely to be diagnosed with delusional disorder.


A delusional disorder is a difficult condition to treat. People with this condition rarely admit that their beliefs are delusional or problematic and therefore will rarely seek treatment. If they are being treated, their caregiver may have difficulty establishing a therapeutic relationship with them.

Accurate evaluation and diagnosis are essential in the treatment of delusional disorders. Because delusions are often ambiguous and occur in different states, the diagnosis of a delusional disorder can be difficult. Furthermore, concomitant psychiatric disorders should be identified and treated appropriately.

Treatment of delusional disorder often involves both psychopharmacology and psychotherapy. Given the chronic nature of this condition, treatment strategies should be tailored to the needs of the individual patient and focus on maintaining social functions and improving quality of life. The priority should be to establish a therapeutic alliance and establish treatment goals that are acceptable to the patient. Avoiding direct confrontation of delusional symptoms increases the possibility of adherence and response to treatment. Hospitalization should be considered if there is the possibility of self-harm or violence.

Antipsychotics can be used to treat delusional disorders, although research on the effectiveness of this form of treatment is not conclusive. Research has shown that somatic delusions appear to be potentially more susceptible to antipsychotic treatment than other types of delusions. Antidepressants such as SSRIs and clomipramine are also successfully used in the treatment of delusional somatic-type disorders.

Some form of supportive care is helpful for most patients with delusional disorder. The goals of supportive care include facilitating adherence to treatment and providing education about the disease and its treatment. Educational and social interventions can include social skills training (such as not discussing delusional beliefs in the social environment) and minimizing risk factors including sensory deterioration, isolation, stress, and violence triggers. Providing realistic guidance and help in dealing with problems resulting from a delusional disorder can be very helpful.

Cognitive therapy can be useful in some patients. In this form of therapy, the therapist uses interactive questions and behavioral experiments to help the patient identify problematic beliefs and then replace them with alternative, more adaptive thinking. Discussion of the unrealistic nature of delusional beliefs should be conducted delicately and only after establishing contact with the patient.

Oltre a incoraggiare una persona con un disturbo delirante a cercare aiuto, la famiglia, gli amici e i gruppi di pari possono fornire supporto e incoraggiamento. It is important that goals be attainable, since a patient who feels pressured or repeatedly criticizeddothers will likely experience stress, which can lead to a worsening of symptoms. A positive approach can be useful and perhaps more effective in the long run than criticism.

, MD, UT Southwestern Medical Dallas

The false beliefs may be ordinary things that could occur (such as being deceivedda spouse) or things unlikely to occur (such as having internal organs removed without leaving a scar).

This disorder can develop in people with a paranoid personality disorder.

Doctors base their diagnosis primarily on a person’s history, after ruling out other possible causes.

People usually stay fit and work.

A good doctor-patient relationship is essential in treatment.

Delusional disorders usually first strike a person in mid to late adulthood. It is less common than schizophrenia. Delusional disorder is distinguished from schizophreniad the presence of delusions without any of the other symptoms of psychosis (for example, hallucinations, disorganized speech, or disorganized behavior).

delusions it can include situations that could occur in real life, such as being persecuted, poisoned, infected, or loved from a distance. They can also include situations that are very unlikely to occur, such as removing internal organs without leaving a scar. The difference between an illusion and a false or misconception is that people still believe in an illusion, no matter how clear evidence contradicts it.

Types of delusional disorders

There are several subtypes of delusional disorders:

erotic: People believe that another person is in love with them. Często próbują skontaktować się z obiektem delusions d rozmów telefonicznych, listów lub wiadomości cyfrowych. Some people try to be under surveillance, and stalking is common. Delusional behavior can be illegal.

Magnificent:People are convinced that they have great talent or have made some important discovery.

Jealous: People are convinced that their spouse or lover is unfaithful. This belief is based on incorrect inferences supportedddubious evidence. In such circumstances, physical assault can pose a serious risk.

accusatory: People believe they are being conspired, spied on, slandered or harassed against them. People can repeatedly file lawsuits or complaints to the police or other government agencies. People rarely resort to violence in retaliation for imaginary persecutions.

somatic: People are concerned about body functions or attributes such as an imaginary physical deformity or odor. The delusion can also take the form of an imaginary medical disorder, such as having parasites.

Symptoms of Delusional Disorder

A delusional disorder can develop from a pre-existing paranoid personality disorder. Starting in early adulthood, people with paranoid personality disorder have a pervasive distrust and suspicion of others and their motives.

Early symptoms of a delusional disorder can include:

Concern about the loyalty or trustworthiness of friends

Reading threatening meanings in minor observations or events

I have been resentful for a long time

Easily react to perceived contempt

The behavior is obviously not bizarre or strange. Osoby z zaburzeniami urojeniowymi zwykle funkcjonują stosunkowo dobrze, z wyjątkiem sytuacji, gdy ich delusions powodują problemy. For example, they may have marital problems if they mistakenly believe their spouse is unfaithful.

Diagnosis of a delusional disorder

Doctor’s evaluation

After ruling out other specific conditions that can cause delusions (such as a substance use disorder), a doctor bases the diagnosis largely on the person’s history and symptoms. Lekarz musi również ocenić, jak niebezpieczna może być dana osoba, w szczególności jak prawdopodobne jest, że dana osoba będzie działać na delusions.

Prognosis of a delusional disorder

Delusional disorders usually do not cause severe impairment. However, people can become more and more involved in their own disappointments.

Większość ludzi jest w stanie pozostać zatrudniona, o ile ich praca nie obejmuje ludzi lub wydarzeń związanych z ich delusionsmi.

Treatment of Delusional Disorder

Establish a good doctor-patient relationship

Sometimes antipsychotics

Treatment can be difficult because some people firmly believe their delusion and refuse to seek help. A good doctor-patient relationship helps with this. After establishing a relationship, doctors can encourage those who are resistant to treatment to participate in treatment.

Hospitalization may be necessary if the doctor determines that people are unsafe.

Antipsychotics are not generally used, but are sometimes effective in reducing symptoms.

The long-term goal of treatment is to shift a person’s attention from disappointments to a more constructive and satisfying area, although this goal is often difficult to achieve.

How to recognize delusional disorders

Dla kogoś, kto cierpi na delusions somatyczne, doświadczanie fizycznych dolegliwości jest tak samo realne, jak dla kogoś, kto faktycznie ma te fizyczne dolegliwości. But their suffering is truly psychological. Esempi di delusions somaticithey are varied and unpredictable, but professionaltreatment options can address the delusional symptomsand help someone regain their life, rooted in reality.

Quick links

  • Understanding Examples and Side Effects of Somatic delusions
  • What Kind of Treatment Is Necessary for Somatic delusions?

The word “somatic” refers to the body, the physical, the experiences of our physical bodies. Things can get confusing when it comes to mental health disorders and physical or somatic symptoms. But it’s important that we reach a greater understanding of the connections so that we can be aware enough to help those who are experiencing related distress. This is especially true since it’s very common for people to miss out on treatment options that could do a lot to relieve their suffering.

Złudzenia somatyczne są zakorzenione w braku równowagi psychicznej, ale jednostka postrzega je jako prawdziwe dolegliwości fizyczne, a delusions te mogą nawet manifestować się jako fizyczne doświadczanie objawów. The primary delusional symptom often brings with it intense worry, anxiety, and confusion. This suffering is further induced when a person visits a doctor to address their physical symptoms and the doctor does not share his or her perspective of reality. W rzeczywistości osoba z delusionsmi somatycznymi może odwiedzać wielu lekarzy, próbując znaleźć uzasadnienie i pomoc na dostrzegane przez siebie choroby i urazy.

Layers of distress can develop over time as someone’s somatic delusions continue to struggle against the objective reality around them. A complicated mix of worry, anxiety and confusion can at least get in the way of your life. Let’s look at some examples of somatic delusions and the options for treatment that can help someone reconnect with their health on all levels.

Understanding Examples and Side Effects of Somatic delusions

Esempi di delusions somatici can be very diverse. And because they aren’t based in reality, they can be quite unpredictable. It’s important to understand that, even though someone’s somatic delusions might seem transparently fictional to an outside observer, that person genuinely believes that they are suffering in this way. Therefore, the path to recovery depends on expert and professional treatment, not just trying to convince them that reality is different from what they believe.

Zazwyczaj delusions somatyczne można sklasyfikować jako niedziwaczne lub dziwaczne. In other words, a person may have delusions that mirror real health conditions—such as broken bones—or they may believe they suffer from health conditions that aren’t based in science and reality—such as bones that are twisted around each other. Z drugiej strony, ponieważ zakres możliwych urojeń jest tak zróżnicowany, czasami delusions somatyczne mogą odzwierciedlać kombinację dziwacznych i niedziwacznych cech. Check out this list of examples, but know that there are many other possible somatic delusions.

  • Broken bones
  • Twisted bones
  • Protruding bones
  • Deformation of parts of the body
  • Tumors or other growths in the body
  • Organs or other parts of the body that have stopped working
  • Paralysis – partial or complete
  • Missing body parts including organs, bones and blood
  • Bumps, bruises, wounds and scars
  • Pregnancy and / or miscarriage
  • Infestationdparasites, small bugs, or worms
  • Nests or eggs that are laid under the skin or in other parts of the body
  • Virus infection
  • Foreign bodies inside the body
  • Body odors

Zwłaszcza bez leczenia delusions somatyczne mogą znacząco wpłynąć na sposób, w jaki ktoś żyje. They may try to hide their delusional deformities and even isolate themselves as a result. They may be driven to bathe excessively or withdraw to manage their body’s offensive odor. Someone’s somatic delusions may even lead them to harm themselves in attempts to address their perceived health problems, such as trying to remove an infestation or self-medicate in inappropriate and dangerous ways.

Start your recovery journey today.

What Kind of Treatment Is Necessary for Somatic delusions?

Ktoś z delusionsmi somatycznymi może wydawać się funkcjonować stosunkowo normalnie, niezależnie od tych urojeniowych przekonań o widocznych chorobach, urazach lub nieprawidłowościach cielesnych. Z drugiej strony te delusions mogą zacząć przytłaczać ich połączenie z rzeczywistością na większe sposoby. Their concern about their physical condition and the need for medical assistance can intensify and block the path of the psychiatric help they really need. After all, they truly believe their problems are somatic rather than mental or behavioral. It can be difficult to combine someone with treatment, which can immensely alleviate their suffering.

The first important step on the road to recovery is an accurate diagnosis. There are many different sources and types of psychosis and delusions. And it’s important that clinicians narrow in on an individual’s unique psychiatric condition so they can also narrow in on the very best course of treatment. For example, somatic delusions may be causeddschizophrenia, schizoaffective disorder, substance use disorders, bipolar disorder, major depression, dementia, or others. Or, this symptom may be the result of a disturbance in the somatic symptoms. Jeśli znasz kogoś, kto cierpi na delusions somatyczne, im szybciej połączysz go z fachową opieką psychiatryczną, tym szybciej rozpocznie on swoją uzdrawiającą podróż.

Połączenie leków i terapii może pomóc osobie z delusionsmi somatycznymi powoli odzyskać kontrolę nad rzeczywistością. They can find a solid and satisfying life. It’s time to stop struggling against the delusions and flow with the compassionate path of comprehensive mental health care.

BrightQuest offers long-term hospital care for people struggling with mental health disorders and co-morbid psychoactive substance use disorders. Contact us to learn more about our renowned program and how we can help you or your loved one start their recovery journey.

Delusional disorder,what was once called paranoia, is one of the conditions on the schizophrenia spectrum. Tuttavia, a differenza della schizofrenia, i pazienti con disturbi deliranti sperimentano solo delusions pronunciati e l’assenza o solo un disturbo del pensiero formale minimo, sintomi negativi o deficit neurocognitivi. Typically, a potentially probable (though unlikely) delusional reason dominates. Powszechne są delusions prześladowcze i wielkościowe, ale często spotyka się także delusions somatyczne i zazdrości. If patients have hallucinations, they are related to the delusional theme. Patients who fear persecution may, for example, smell gas in their home. La natura radicata dei delusions può portare a un significativo deterioramento funzionale nonostante la scarsità di altri sintomi psicopatologici.

Patients with delusional disorders rarely turn to a psychiatrist for help due to poor understanding of their location and strong delusional belief. Depending on the delusional theme, they may seek help from a medical specialist (e. g., see a dermatologist for delusional infestation) but resist a subsequent referral to psychiatry.

Treatment zaburzeń urojeniowych jest notorycznie trudne. The challenge is not necessarily symptomatic resistance to antipsychotic treatment per se, but categorical rejection of psychiatric treatment. A long period of commitment can be successful. Some patients may agree to try antipsychotic treatment to deal with the unpleasant affection and suffering that result from the “distrust” or anxiety and fear that accompany psychotic experiences. Other psychotropics, such as antidepressants or benzodiazepines to reduce the affective component, can be symptomatic.

The efficacy of antipsychotic drugs may be comparable to that of schizophrenia and underestimated in terms of psychological resistance to treatment. Although pimozide has earned a reputation for being particularly effective in delusional disorders, any antipsychotic drug, when taken, can work just as well, although no comparative studies have been conducted. Pimozide is a dopamine-2 blocker, but also a potent calcium channel blocker that can cause QTc prolongation and hypotension. Cognitive behavioral therapy, if approved, can be tried, but there is no well-conducted research to support its benefits. All treatment recommendations are based on case reports and case series as this rare disease has been difficult to study.


  • Kendler KS. Clinical features of paranoia in the twentieth century and their representation in the diagnostic criteria from DSM-III to DSM-5. Schizophrenia Bulletin. 2017; 43 (2): 332-343.
  • Alexandre González-Rodríguez et al. Antipsychotic response in delusional disorder and schizophrenia: a prospective cohort study. Actas Esp Psiquiatr. 2016; 44 (4): 125-135.