Paranoia & Delusions

superhero_400pxDelusional disorder, (previously called paranoid disorder,) is a type of serious mental illness called a “psychosis in which a person cannot tell what is real from what is imagined. The main feature of this disorder is the presence of delusions, which are unshakable beliefs in something untrue.

People with delusional disorder experience non-bizarre delusions, which involve situations that could occur in real life, such as being followed, poisoned, deceived, conspired against, or loved from a distance. These delusions usually involve the misinterpretation of perceptions or experiences. In reality, however, the situations are either not true at all or highly exaggerated.

People with delusional disorder often can continue to socialize and function normally, apart from the subject of their delusion, and generally do not behave in an obviously odd or in a bizarre manner. This is unlike people with other psychotic disorders, who also might have delusions as a symptom of their disorder. In some cases, however, people with delusional disorder might become so preoccupied with their delusions that their lives are disrupted.

Types of delusional disorder

There are different types of delusional disorder based on the main theme of the delusions experienced. The types of delusional disorder include:

  • Erotomanic — Someone with this type of delusional disorder believes that another person, often someone important or famous, is in love with him or her. The person might attempt to contact the object of the delusion, and stalking behavior is not uncommon.
  • Grandiose — A person with this type of delusional disorder has an over-inflated sense of worth, power, knowledge, or identity. The person might believe he or she has a great talent or has made an important discovery.
  • Jealous — A person with this type of delusional disorder believes that his or her spouse or sexual partner is unfaithful.
  • Persecutory — People with this type of delusional disorder believe that they (or someone close to them) are being mistreated, or that someone is spying on them or planning to harm them. It is not uncommon for people with this type of delusional disorder to make repeated complaints to legal authorities.
  • Somatic — A person with this type of delusional disorder believes that he or she has a physical defect or medical problem.
  • Mixed — People with this type of delusional disorder have two or more of the types of delusions listed above.

Basic Principles

There are no systematic studies on treatment approaches and results in Delusional Disorder. The patient’s distrust and suspiciousness usually prevents any contact with a therapist.

Hospitalization

Hospitalization is indicated if a potential for danger is present; otherwise outpatient management is advisable. Unfortunately, involuntary hospitalization may increase distrust and resentment and increase the patient’s persecutory delusions.

Antipsychotic Drugs

Antipsychotic medication may be useful, particularly for accompanying anxiety, agitation, and psychosis. Because patients may be suspicious of medication, depot forms may be helpful. Although antipsychotics may have a good response, they are often only marginally effective for specific forms of Delusional Disorder.

Other Therapies

Other treatments have been tried (electroconvulsive therapy, insulin shock therapy, and psychosurgery), but these approaches are not recommended.


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Helpful Links:

http://www.mentalhealth.com/rx/p23-ps02.html

http://my.clevelandclinic.org/disorders/delusional_disorder/hic_delusional_disorder.aspx

 

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‘A Drowning Kind of Despair’

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“For we do not want you to be ignorant, brethren, of our trouble which came to us in Asia: that we were burdened beyond measure, above strength, so that we despaired even of life.

   2 Corinthians 1:8

“…we should all fortify ourselves against the dark hours of depression by cultivating a deep distrust of the certainties of despair. Despair is relentless in the certainties of its pessimism. But we have seen again and again, from our own experience and others’, that absolute statements of hopelessness that we make in the dark are notoriously unreliable. Our dark certainties are not sureties.”

John Piper

It is my ‘deliberateness’, and not my impulsiveness that scares me.   I know ‘despair’.  I know what it is like to be ‘backed into a corner’ and then feel the empty desperation of being lost.  But you must understand, there can be a weird seductiveness to ‘being lost’, a ‘strange sort of nobility’, a twisted honor, when it comes to despair.

Piper talks about the ‘dark certainties’ of knowing you are lost.  Now this really seems rather bizarre, that people could do this intentionally, without duress.  But I’m afraid to tell you that it happens all the time.  Despair is chosen over the option of life. This is the ‘lostness’ of the race of Adam.

Pop culture has given us words, albeit in a rather simplistic form.  I just happened to think right now of an old AC/DC  song, ‘Highway to Hell‘.  The lyrics are pretty basic, very simple, but the lead singer seems to really have a chronically, decided dedication to being one of the irretrievably lost.  He formats a ‘certain glory’ to being part of the damned.  This is a simplistic approach to the next stop– a more advanced case of stark-white despair, suicide. (We can call this ‘spiritual hubris,’ or even, “sex, drugs, and rock-n-rollism.”)

In examining the striated world of despair, we come to the interesting place where our foolishness combined with our arrogance produces a decision to be lost.  Of course, our fear of God must be extracted from the situation.  But for the eager candidate for despair, this is not an insurmountable problem.

Escaping this ‘drowning despair’ we must first dethrone our right to personal sovereignty.  And secondly, we need to grab the concept that God’s grace has an ultimate power that supersedes our notions of a ‘deserved’ love.  (It is completely undeserved).  We must believe that somehow, someway God chooses us out of a pile, a pile of the worst and ugliest.  And somehow, He delights in doing this, and after all, He is the Lord.

We are meant to be the people of redemptive hope. 

Because of our problems, our addictions, we must clearly renounce our evil folly of despair.  These are the issues that make us vulnerable.  There is a seductiveness to ‘giving up’ and taking up the sin of despair.  There can be a ‘weird romance’ that lures those who ‘walk out lostness’.  We are pulled into a vortex of an exotic melancholy with a dash of fatalism, which makes it reasonable and weirdly heroic in some perverse way.

But is it not even more heroic to live in hope?

“Why are you downcast, O my soul? Why so disturbed within me?  Put your hope in God, for I will yet praise him, my Savior and 6 my God. My soul is downcast within me; therefore I will remember you.”

Psalm 42:5-6

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Without a Wound? [True Ministry]

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The subject of “the pool at Bethesda” alludes to the following excerpt from the Thorton Wilder play, “The Angel that Troubled the Waters.” The play is based on the biblical verses of John 5:1-4, but it changes the end of the parable. I first encountered this excerpt within the book “Abba’s Child: The Cry of the Heart for Intimate Belonging,” by Brennan Manning.

The play tells of a physician who comes periodically to the pool of Bethesda, hoping to to see the stir and then be the first in the water and healed of his melancholy. The angel appears and troubles the water. Everybody at the pool hopes to be the first in the pool and thereby be healed of his disability.

An angel appears and blocks the physician at the very moment he is ready to step into the pool and be healed.

Angel: “Draw back, physician, this moment is not for you.”angel1

Physician: “Angelic visitor, I pray thee, listen to my prayer.

Angel: “This healing is not for you.”

Physician: “Surely, surely, the angels are wise. Surely, O Prince, you are not deceived by my apparent wholeness. Your eyes can see the nets in which my wings are caught; the sin into which all my endeavors sink half-performed cannot be concealed from you.”

Angel: “I know.”

……………Interlude………………

Physician: “Oh, in such an hour was I born, and doubly fearful to me is the flaw in my heart. Must I drag my shame, Prince and Singer, all my days more bowed than my neighbor?”

Angel: Without your wound where would your power be? It is your very sadness that makes your low voice tremble into the hearts of men. The very angels themselves cannot persuade the wretched and blundering children on earth as can one human being broken on the wheels of living. In Love’s service only the wounded soldiers can serve. Draw back.”

Later, the person who enters the pool first and was healed rejoices in his good fortune then turns to the physician before leaving and said:

“But come with me first, an hour only, to my home. My son is lost in dark thoughts. I — I do not understand him, and only you have ever lifted his mood.”

“Only an hour… my daughter, since her child has died, sits in the shadow. She will not listen to us but she will listen to you.”

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For me, the play pierces with the ‘bullet-message’ of this wonderful line— “Without your wound where would your power be?“ This is like a slow percolating of Paul’s teaching, mainly that it’s through my weaknesses that I can truly minister to others like Jesus. It’s the Apostle Paul declaring it’s the weak things that work to create something solid and true in us. And I hope in the many lives that this ministry, brokenbelievers.com reaches.

I hope so anyway. Pray for me.

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