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Delusional Disorder

Diagnosis, symptoms, and treatment methods.

General Information About Delusional Disorder

Delusional disorder is a psychiatric illness in which a person holds unshakable and irrational beliefs (delusions) that do not exist in reality but feel entirely real to them. Unlike schizophrenia, hallucinations are not prominent, and the person can continue their daily life. In our Psychiatry department, it is treated with antipsychotic medications and cognitive psychotherapy.

Disease Details and Frequently Asked Questions

You can find detailed information about the disease under the headings below.

It is when a person blindly believes that a certain idea (being followed, being cheated on, being someone special, etc.) is absolutely true, despite there being no evidence and everyone around them saying otherwise.

In schizophrenia patients, there is intense hearing of voices (hallucinations), speech impairment, and a severe mental decline. In delusional disorder, the person speaks very logically, goes to work, and looks completely normal from the outside; they only disconnect from reality when that 'single topic' they believe in is brought up.

The most common types include believing one's spouse is cheating (Jealousy), believing the mafia or the state is after them (Persecutory), believing parasites are crawling in their body (Somatic), or believing they are secretly loved by someone very famous (Erotomanic).

No. The most challenging aspect of the disease is the person's lack of insight (egosyntonic). They never accept that what they believe is a 'disease,' so they usually refuse to go to the doctor or are brought in by force.

The person can show excellent functionality in matters unrelated to their delusion. However, due to their delusions, they may inflict violence on their spouse (jealousy delusion), take their neighbors to court, or lock up their house like a fortress.

Treatment is difficult because the patient resists medication. Antipsychotic drugs are prescribed under the guidance of a psychiatrist who builds a relationship of trust. The aim of therapies is not to refute the patient's belief by calling it 'nonsense,' but to reduce the stress this belief creates in their life.

Our health library contents are prepared for informational purposes only and with scientific data available at the time of recording. For all your questions, concerns, diagnosis, or treatment regarding your health, please consult your doctor or a healthcare institution.

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