Category: disability

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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A Believer in Pain

by Joni Eareckson Tada

My chronic pain makes my quadriplegia feel like a walk in the park.

People often ask how I manage my pain. Well, when its fangs sink deep into my hips and back, that’s my signal. I begin deep breathing, slow and steady. And when fiery pain threatens to overtake me—just as the flames threatened to consume Shadrach, Meshach, and Abednego in that fiery furnace found in the book of Daniel—I have a conversation with it.

I don’t say, “I can’t stand this; it’s killing me,” because words like that are fraught with anxiety. Fear only makes things worse. Instead, I calmly ask Jesus to meet me in my pain, to not let it crush me. And the Son of God never fails to meet me, just as he met those three Hebrews in that hot furnace of fire.

And what does Jesus say to me in that agonizing place of pain?

He comforts me with his own words. He will say something like, “Joni, my Spirit inspired 2 Corinthians 4:8 for a good reason. For although you are ‘hard pressed on every side,’ you will not be crushed.”

Oh, what a promise! Pain may tighten its vice grip, but it cannot crush me. As I cling to God’s promises, my pain pushes me further into Jesus’s heart. There is nothing sweeter than finding my Savior in the middle of my hellish circumstances. It helps deflect the pain and helps me to suffer well. Jesus helps me be in that unhappy place well.

All the years I’ve lived in my wheelchair, I never got delivered from pain. But I met my Deliverer in it. I didn’t get healed, but I found intimate fellowship with the Healer.

Friend, pain does not have to crush you.

As you courageously look at the stern countenance of pain and enter unafraid into its recesses, you will defang it of its terror. You’ll see that the Lord is in your pain, having transfigured it to become a place of union with him. Jesus conquered the insidious ways of pain and because of that, he is your best prescription for pain—whether it’s in your hip, your head, or your heart.

And remember, there is a glorious day coming when it says, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away.” (Revelation 21:4). Until then, when pain encroaches, start deep breathing and cling to a Bible promise. There are thousands to hold onto.

Perhaps my favorite is this one uttered by almighty God to you and me, promising, “I have made you and I will carry you; I will sustain you and I will rescue you” (Isaiah 46:4b).

And he will. He promised.

Joni Eareckson Tada

https://joniandfriends.org/

When God Doesn’t Heal You

“We like to talk about having the faith to be healed – what about the faith to be sick?”

Mike Mason

God heals. Of that I have no doubt. We have many promises and see so much actual healing in Scripture. Jesus’ ministry would connect with hundreds of people who would be physically touched. The Lord would pass the baton on to His Church. We’re called to “lay hands on the sick,” (James 5:14-15).

But not everyone who is sick will receive physical healing. Even those who were active in ministry knew sickness.

In the second episode of season 3 of “The Chosen,” Little James, who we’ve seen walks with a limp, comes to Jesus after He commissions the Apostles. He tells him he finds it hard to believe that he will be healing people, given that Jesus hasn’t healed him.

“Do you want to be healed?” asks Jesus.

“Yes, of course,” James says, “if that’s possible. Why haven’t you?” he asks Jesus—again, a question some of us would’ve asked.

“Because I trust you,” Jesus says. “Little James. Precious Little James. I need you to listen to me very carefully, because what I am going to say defines your whole life to this point and will define the rest of your life. Do you understand?”

Jesus tells James that he will heal many people, and they will have a good story to tell.

“To know how to proclaim that you still praise God in spite of this—to know how to focus on all that matters, so much more than the body—to show people that you can be patient with your suffering here on Earth, because you know you’ll spend eternity with no suffering—not everyone can understand that. How many people do you think the Father and I trust this with? Not many.”

“But the others,” James says, “they are so much more … stronger, better at this.”

“James, I love you,” Jesus says, “but I don’t want to hear that ever again.”

“I know how easy it is to say the Psalm of David, that I am beautifully and wonderfully made, but it doesn’t make this any easier,” says James, begins to weep. “It doesn’t make me feel like any less of a burden.”

“When you pass from this earth,” Jesus says to James, “and you meet your Father in Heaven, where Isaiah promises you will leap like a deer, your reward will be great. So hold on a little longer. And when you discover yourself finding true strength because of your weakness, when you do great things in my Name in spite of this, the impact will last for generations. Do you understand?”

James cries, and says, “Yes. Thank you, Master.”

I believe that there are two truths that every Christian can count on. These are solid, and completely trustworthy. They are forever fixed and will never change.

One: God strengthens every believer.

“Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand.” Isaiah 41:10

Two: God will ultimately heal every believer.

“He will wipe away every tear from their eyes, and death shall be no more, neither shall there be mourning, nor crying, nor pain anymore, for the former things have passed away.” Revelation 21:4

“I will trust Him. Whatever, wherever I am, I can never be thrown away. If I am in sickness, my sickness may serve Him; in perplexity, my perplexity may serve Him; if I am in sorrow, my sorrow may serve Him. My sickness, or perplexity, or sorrow may be necessary causes of some great end, which is quite beyond us. He does nothing in vain.”

     John Henry Newman  

I’m Such a Fool

They tell me that courage is to do something that frightens you. That it is being strong in the face of pain and suffering. If that’s true (and I suspect that it is) then I haven’t arrived yet. I’m a spiritual “chicken.” I’m no eagle yet.

It seems at times I’ve been ‘gifted’ with cowardice! 😁

I struggle at times with chronic depression, and am physically handicapped. I have lost the use of my right arm and hand. I no longer have any balance and must use a cane. This is due to a brain tumor I had in 2002. I’ve had over a dozen head injuries which only has compounded the ataxia.

I admit I sometimes get angry with God. I also get spiritually confused as I try to walk like Jesus wants me too. My frustration with Him is all foolishness when I think of all He has given me. I pretend at these times, and I do it well I think.

I’m also afflicted with a terrible disease called “Facebookitist.”

I find that this blog I write sometimes covers up a multitude of my own sins. You see and read what I want you to see. I polish up things to preserve a modicum of spiritual decency. I want you to see me as faithful and triumphant. A real disciple, (but alas, that’s often a bit of a stretch).

“When I get honest, I admit I am a bundle of paradoxes. I believe and I doubt, I hope and get discouraged, I love and I hate, I feel bad about feeling good, I feel guilty about not feeling guilty. I am trusting and suspicious. I am honest and I still play games.”

“To live by grace means to acknowledge my whole life story, the light side and the dark. In admitting my shadow side I learn who I am and what God’s grace means.”

“As Thomas Merton put it, “A saint is not someone who is good but who experiences the goodness of God.”

Brennan Manning

I once was confronted by a younger believer, “I don’t know you, brother, you’re like two different people.” And honestly I’m sure he was right. I am, and it disturbs and saddens me.

And what is the truth often scares me. I’m often a spiritual coward who tries to speak the things that are real and true. (A clown trying very hard to play “Hamlet.”) I occasionally realize I will write something that’s spiritually false, and that scares me. “Kyrie Eleison.” God have mercy on me, a sinner.

I think all I want is God’s stamp of approval. “Well done, good and faithful servant.”

And perhaps yours as well?

I realize that I end up wanting truth which is no small thing. Many lies must be stripped away and that seems to take time. It’s like scraping away layers of varnish on a table you’re working on. I’m pretty much coated with sin. I desperately need the truth to survive.

All I really know is that I love Jesus, and I seek to be filled with His Spirit. I keep coming, over and over, to Him. He holds on to me.

“If you look for truth, you may find comfort in the end; if you look for comfort you will not get either comfort or truth only soft soap and wishful thinking to begin, and in the end, despair.”

     C.S. Lewis

“Jesus comes not for the super-spiritual but for the wobbly and the weak-kneed who know they don’t have it all together, and who are not too proud to accept the handout of amazing grace.”

Brennan Manning