Category: confusion

Medical: Paranoia & Delusions

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Delusional 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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I am Jonah

1 “But Jonah was greatly displeased and became angry. 2 He prayed to the LORD, “O LORD, is this not what I said when I was still at home? That is why I was so quick to flee to Tarshish. I knew that you are a gracious and compassionate God, slow to anger and abounding in love, a God who relents from sending calamity. 3 Now, O LORD, take away my life, for it is better for me to die than to live.”

 4 But the LORD replied, “Have you any right to be angry?”

Jonah 4:1-4, NIV 

Jonah is the very essence of the modern Christian who prefers God to be just like them (only more so.)  Just like Jonah we can be:

  1. unbelieving,
  2. unaccepting and
  3. unforgiving.

When you mix the three, (in a kind of “Jonah smoothie”) you will have something quite religious– but very toxic.  A toxicity that normally should require protective clothing and a quarantine.

Jonah has a sense of who God really is.  But, he disagrees.  In his eyes, God is way too excessive, way too elaborate in His love.  He makes way too many possibilities for forgiveness.  It drives him nuts, to serve a God that is way too liberal with His love.  It seems to push Jonah to try to readjust the love of God on his own.

In the eyes of Mr. Jonah, he simply must modify the “way of salvation.”  In his way of thinking, he can’t let God, be wholly God.  Jonah simply must step in, and dial back the real tendency of God to venture into His excessive and foolish love.  He must be thinking that what God is doing is way too outrageous, and far too far for human reasoning.

Amazingly, Jonah knows God deeply.  He knows, and he is afflicted by the grace that God has for these Ninevites.  Jonah doesn’t get vague, rather he gets specific.  He becomes more aware.  Verse 2 states Jonah’s deep awareness that God is simply too good for people, He is far too rich and generous with the behavior of people who live way too loose.

Since God seems so excessive we feel we must adjust Him.

It seems we must work to make Him more acceptable, and to redefine Him into a more focused kind of religious faith.  Something that makes sense to us His followers.  Something in the way the World perceives Him.  It so seems that this is a job that almost every believer jumps at. (I vote to send God to “rehab.”) :-)

We feel we need to dial God’s grace down.

But the LORD replied, “Have you any right to be angry?”  The Lord speaks specifically to Jonah.  He asks a question, which is a very good idea, when confronting foolish thinking.  “Have you any right?”  This question reverberates and echos through the corridors inside our hearts.  It seems our right doesn’t extend that far.  Being “angry” with God (and the way He does things,) is never an acceptable way of thinking.

Simply put, you have no right.  You have nothing.  There isn’t any allowance or prerogative given, that allows you to alter and adjust the way God wants His reputation and character to be made public.  Sorry, you can’t “airbrush” Him to meet the perceived ideas of the mass population.  He will not allow you to “photoshop” His face or presence, to make His love more presentable.

A Very English Pigeon

“I will instruct you and teach you in the way you should go; I will counsel you with my eye upon you.”

Psalm 32:8

In April 2002, I was sitting in a cavernous waiting room at King’s Cross in London, England.  I was waiting for a bus to Cambridge, UK.  I sat all alone and stared at the tiled floor at my feet.  The doctors had warned me not to travel alone, but I ignored their advice.

And now I was starting to really unravel.

Depression had followed me all the way from Alaska to England. I had pushed my limits and was completely drained and was becoming very confused.  I began to cry out to the Lord, very desperately. Sometimes madly. (Read Psalm 88.)

As I sat there staring intensely at the floor, several pigeons seemed to put on a show, just for me. They were fat little guys, apparently scratching out a good living. Several very large windows were open, and these pigeons seemed to have no fear as they took advantage of a meal from bored travelers.

All of a sudden something very odd happened. 

A pigeon came across the floor and “presented” himself, right square in front of me.  I watched him intently and saw that he was crippled, one of his feet was nothing more than a twisted claw.  He had been profoundly injured in such a way, that he would never be the same.  He was damaged, and yet somehow he was surviving, but even more, and he was thriving!

It was like experiencing a lightning bolt. God’s own light switch was being flipped.

I saw that pigeon, and I saw myself, and it was a moment of clarity, a shining grace.  In the mega-hustle of 13.6 million people in London, and in the midst of my own profound mental crisis, I knew God’s caring touch and it gave me real grace, love, and goodness–far greater than all my sin and confusion. He was just letting me know that He was very, very close. (See Psalm 34:18.)

I had seen my damaged pigeon, completely oblivious to self-pity.

I started to call out to the Father out of my confusion.  Within a few minutes, I found myself sitting on the top level of a double decker bus, with the driver aware of my problems and who specifically drove me to the place I was staying. 

I was being cared for. Between a crippled pigeon and the dutiful ministrations of a bus driver, I’d finally found my hotel. (See Matthew 6:26.) 

I have come to realize that this trip to England was not for me to see Big Ben, Parliament, or wander the academic schools of Cambridge University.  Rather I was brought there to make contact with a certain pigeon, who was waiting to meet me and pass on vital instructions. 

The Father shared things that I need to know.  British castles and churches are beautiful and worth seeing but I must admit I’ve forgotten much. I hope I can return someday.

But on this trip, all I really needed to see was a crippled English pigeon who was just waiting to meet me.

We Are Not Crushed

“Indeed, we felt that we had received the sentence of death, so that we would not trust in ourselves but in God who raises the dead.”

2 Corinthians 1:9

To be chronically ill often means living with awful frustration. We can’t do what we want, we are ‘trapped’ by a disease we never asked for, and we’re held hostage by our minds and bodies. We once had a job– a career… and our time was occupied by that.

We wanted something else, anything more than being very sick.

I once was a pastor of a small church. I also taught Gospels for several years in a local Bible Institute. I loved ministry very much. I enjoyed helping people and teaching the Word. I endeavored to be faithful in the ministry. I hope I did.

With the sudden onset of a brain tumor, followed up by a diagnosis of severe depression, my life more or less exploded. I had extensive memory loss. I knew I had to step out of the ministry. I simply could not function. It was a hard thing to leave it behind.

The post-op recovery following the tumor was an ordeal, as I had to relearn much. A few years later I ended up on disability; I was unable to work, and my symptoms were so unpredictable. I dealt with profound depression and a solid dose of paranoia and fear.

My depression grew even more profound with the stillborn death of our third child just 3 days before her delivery, Things suddenly ground to a standstill as my wife and I tried to process all of this. I guess I just couldn’t understand and more or less just shut down. I spent months in bed, unable to function.

The isolation of being ill seems worse than the pain. We wonder why this is happening to us, and we hear lies about our own unworthiness or God’s anger. We think that the Church has abandoned us. We can feel cursed, forgotten, or even worse. (Maybe even irrevocably lost?)

Satan craves our spiritual destruction, and he snares unsteady souls.

I admit I have been slow to learn this– but God brings good things out of the dark. I’m embarrassed by my personal lack of acquiring all of this. Now I’m starting to learn finally, and I want His words to reflect these truths.

I’m learning how to walk in brokenness.

His light will shine, and the treasure is found in clay vessels. Brokenness only means the treasure is now seen clearly. It’s important to note–jewels lose none of their value by being surrounded by broken clay. Our weaknesses are being turned into goodness, understanding, and love for our brothers and sisters.

Troubles of many varieties will pay us a visit. Count on it.

“We are pressed on every side by troubles, but we are not crushed. We are perplexed, but not driven to despair. We are hunted down, but never abandoned. We get knocked down, but we are not destroyed.”

2 Corinthians 4:8-9

Bryan Lowe

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