Delusional Disorder

Delusional disorder is a medical condition, in which the presence of 1 or more beliefs that persists for at least one month occurs. Delusional disorders are considered to be uncommon Delusional Disorderand functions are less impaired.

A Delusional disorder usually first affects an individual in late or middle adult life. Delusional disorder’s delusions tend to be non-bizarre and involve situations that might conceivable exist in real life, such as being poisoned, followed, loved at a distance or infected. Delusional disorder’s subtypes include:

1. erotomanic subtype, in which another person is in love with the individual

2. grandiose subtype, in which individual is convinced that he or she made very important discovery or he or she has specific great talent

3. jealous subtype in which an individual is convinced that a lover is unfaithful. In this situation, physical assaults can be a major danger

4. Persecutory subtype, in which individual believes that he or she is being harassed, maligned, spied, or plotted against

5. Somatic subtype involving a preoccupation with bodily attributes or functions, including parasite, odor, or imagined physical deformities. A delusional disorder can come from previous paranoid personality disorders demonstrating a suspiciousness and pervasive distrust of others and their motive.

Symptoms at early stages can include being preoccupied with trustworthiness of friends, responding readily to perceived slights, bearing grudges for a long time, feeling exploited, and reading threatening meaning into benign evens or remarks.

Diagnosis of delusional disorder is based on the individual’s history and doctor’ elimination of other certain disorders associated with delusions. It is essential for a physician to determine dangerousness degree, especially the extent to which the individual has to have act on his or her delusion.

Delusional disorders are not usually leading to severe, personality changes or impairment. However, the individual can become significantly involved with the delusion. Most individuals with delusional disorder remain employed. A good relationship between the patient and doctor helps treat the disorder. A person may be hospitalized, if the doctor thinks the individual is dangerous.

A major long term treatment goal is to shift patients focus away from the delusions to a more gratifying and constructive area, but such a goal is often hard to achieve.


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