Delusional disorder - types , causes, treatment


1. types of delusional disorder

2. Diagnostics

3. Organic delusional disorder

4. chronic delusional disorder

5. Treatment delusionaldisorders

Delusional disorder is a serious mental illness in which the patient is not able to distinguish the real from the imaginary.

This mental disorder is still the name of a paranoid personality disorder.Its main feature is the presence of delusions, is a solid belief in something false.Patients with this disorder experience delirium associated with such situations as persecution, disinformation, poisoning, kidnapping, conspiracy, jealousy, infidelity, etc.This delirium often includes false interpretation of experience or perception.In fact, the situation either greatly exaggerated or completely untrue.

Individuals with delusional disorder often are adequate, socially active and functioning properly is the object of his delirium that distinguishes them from people with other psychotic disorders (eg schizophrenia patients) who are

constantly behaving very strange and eccentric.But sometimes these patients are so engrossed in their false beliefs that it completely destroys their lives.

To date, these personality disorders themselves, rather than as a symptom of certain diseases, are extremely rare.They tend to occur in middle or older age, mostly males.


delusional disorder Experts identify several types of disorders that depend on the topics of delirium patient.Among them:

  • beliefs associated with overvalued ideas: the patient tend to inflated sense of their importance, knowledge, power, unique.Man believes that he is talented or what makes a great discovery;
  • false beliefs associated with jealousy: the patient suspects their partner of infidelity;
  • beliefs associated with the persecution: patients believe that for them, someone is watching and expects to cause harm;
  • false beliefs associated with erotomania: People with this type of disorder is sure that some important or famous person is in love with him, so he often attempts to establish contact with her;
  • beliefs associated with somatic: a person believes that he has a particular disease or infirmity;
  • beliefs mixed type: the patients have two or more types of delirium.

to main symptom disorder experts attribute the presence of neekstsentrichnyh delusions.In addition, you may experience hallucinations, anger and irritation.

As for the causes of this disorder, they have not been studied until the end, so you can not isolate any one factor.It is believed that the cause of delusional disorders can serve a variety of genetic, biological, and psychological factors as well as environmental factors.

due to genetic factors that predispose to this disorder is transmitted genetically from parents.The biological factor disorders associated with an imbalance of neurotransmitters in the human brain.Psychological impact, and environmental factors are the frequent stress, loneliness, alcohol and drug use.

Diagnosis Diagnosis of this condition on the basis of such symptoms as:

  • lack of permanent hallucinations;
  • absence of psychosis caused by the intake of psychotropic drugs;
  • presence neekstsentrichnyh delusional disorders, are not specific to schizophrenia;
  • presence of delusional ideas for more than three months.

When this disorder is also characterized by symptoms of depression, but still the main feature is a pronounced delirium.

Organic delusional disorder

key feature of organic delusional disorder is that it is caused by a genetic weights, or defeat of certain brain structures.Organic delusional disorder - a mental disorder in which persistent or recurrent false beliefs dominate the picture of the disease.Furthermore, there may be clinical symptoms similar to schizophrenia (fanciful delusions, thought disorder, hallucinations).

This form of the disease, in turn, are divided into two types of disorders: acute and chronic.

Acute delusional disorder characterized by sudden and sharp psychopathology impaired brain functioning (due to acute infectious disease or traumatic brain injury).Chronic

delusional disorders characterized by acute slow and generally irreversible flow.

chronic delusional disorder

main clinical symptom of chronic delusional disorder is a persistent delusion that lasts for more than 3 months.The forms of chronic delusional disorders are usually divided into three syndromes: paranoid, paranoid and paraphrenic.

paranoid syndrome (paranoia) features a durable delusional system, which manifests itself without hallucinations.False beliefs such patients is generally well arranged and developed without internal contradictions.The development of this form of delirium, although entails some changes in personality, but they do not bear signs of dementia, so these patients seem to others to be adequate.

When paranoid syndrome false beliefs of the patient less logical and more contradictory.In the development of this type of disorders of the important role played by such intermittent hallucinations as "voices" that comment on the activities of the paranoid.But with the development of the disease nonsense gets into all spheres of human life and can affect both his professional and private life.

Paraphrenia (paraphrenic syndrome) is clearly manifested by the presence of the fictional, fantastic delusions.The course of this form of disorder is characterized pseudohallucinations and confabulation (false memories).

Treatment of delusional disorders

Therapy Data personality disorders is to apply two methods - namely, medical and psychotherapeutic.

The main aim of psychotherapy is the transference of the patient's attention to the object of his frustration at a real thing.Psychotherapeutic intervention is divided into individual, family and cognitive-behavioral.Today therapists prefer cognitive-behavioral therapy, which allows the patient to help change the course of his irrational thoughts that cause him anxiety.

Medication delusional disorders carried out by neuroleptics, are actions which consists of blocking dopamine receptors in the brain.a new generation of drugs which are used to treat delusional disorders, are atypical antipsychotics acting on serotonin and dopamine receptors.If the patient is depressed, depression and anxiety, in the course of therapy specialists prescribe tranquilizers and antidepressants.

Patients having severe delusional disorders, placed in a hospital until until the condition has stabilized.


This article is available exclusively in the educational purposes and is not research material or professional medical advice.

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