Category: mental illness

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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God Keeps Your Tears in a Bottle

by Linda L. Kruschke

I have cried many tears in my life.

If you have never cried, you can stop reading right now. But if you have shed tears for yourself or for others, or if like me you have shed some without even knowing why or where they came from, take heart. God knows the tears you have shed. Psalm 56:8 says so. Here are several translations of that wonderful verse:

Record my lament;
       list my tears on your scroll —
       are they not in your record? (NIV)

You have taken account of my wanderings;
         Put my tears in Your bottle
         Are they not in Your book? (NASB)

You keep track of all my sorrows.
      You have collected all my tears in your bottle.
      You have recorded each one in your book. (NLT)

Write down my poem of sadness.
      List my tears on your scroll.
      Aren’t you making a record of them? (NIRV)

I love the image of God keeping all my tears in a bottle. I can envision shelves filled with bottles in Heaven, each with a name on it, and an accompanying scroll documenting every tear and lament. Or maybe it is just one huge bottle with all of our tears mingled together.

Today tears are being shed in dark rooms where children are being held as sex slaves, in Africa as people remain homeless and without food and water, in the United States as many remain jobless, in hospitals and on the streets where the mentally ill are forgotten, in homes around the world where people are spiritually lost and have no hope.

We live in a fallen and painful world.

Tragedies happen and humans are not always kind to one another. And so tears are shed. It is hard to fathom God collecting every single one, but He does. He notices and He records each tear and each lament.

The more I think about it, I like the idea that God has mingled all our tears together. The Psalm does refer to God’s “bottle” in the singular. And if He has collected every tear in that bottle, then mingled with our own are the tears of Jesus. In John 11, the apostle records this event: “Jesus wept.” (John 11:35.)

In this passage, Jesus weeps when He learns of the death of Lazarus.

When they see Him weeping, the people say “See how he loved him!” John 11:36. But I don’t think Jesus was weeping because Lazarus was dead – He knew He was going to raise Lazarus from the dead. Rather, I think He wept because of the compassion He felt for humanity as we weep over our own tragedies and losses. It is us that He loved so much that it brought Him to tears.

So if you weep today, remember that God is collecting your tears in His bottle, and mixing them with the tears of our dear Savior. Not only that, but God will deliver you from the final trial that lead to tears by redeeming your soul.

“For you, O LORD, have delivered 
   my soul from death,
   my eyes from tears,
   my feet from stumbling,
that I may walk before the LORD
   in the land of the living.“

Psalm 116:8-9 (NIV).

Linda’s blog is at anotherfearlessyear.net  Please check out all she has to say and listen to her heart.
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Fallow Ground

Today I realized that I was sick and very tired of myself. It’s really not disgust or even loathing. It’s more like weariness, exhaustion. I’ve never felt this way. In a strange way, it intrigues me. Could this definite disenchantment mean something spiritual? Does it have value, or am I just feeling self-absorbed or conceited?

There seems to exist a real rigidity to evil, something intense.

I have seen it up close– sin that hardens all who touch it, plain and simple. My growing immobility disturbs me, as I know I’m developing a “hardness of heart.” Atherosclerosis is a condition of a sick heart where arteries become blocked. It’s also known as the “hardening of the heart, or arteries.” It is a patient killer, slowly and surely making hard deposits that block the flow of blood.

The Bible speaks much about having a hard heart.

It also uses the metaphor of fallow ground that must be plowed up. Jesus used the same image in His “Parable of the Sower” in Matthew 13.

“A sower went out to sow. 4 And as he sowed, some seeds fell along the path, and the birds came and devoured them. 5 Other seeds fell on rocky ground, where they did not have much soil, and immediately they sprang up, since they had no depth of soil, 6 but when the sun rose they were scorched. And since they had no root, they withered away. 7 Other seeds fell among thorns, and the thorns grew up and choked them. 8 Other seeds fell on good soil and produced grain.”

There are really only four options.

  • The first is the seed that gets walked on.
  • The second lands on hard stones.
  • The third seed tries to grow in the thorns and thistles.
  • Only the fourth flourishes.

Heart of Stone Heart of Flesh
The Battle of the Heart

I have found that my own heart drifts. I myself struggle with a mental illness where my emotions fluctuate constantly. They gallivant around, floating here and then there. I may be depressed and suicidal in the morning, and then I can be euphoric in the evening. It’s having the identity of a “wandering star.”

But I so want my heart to soften. I want to grow. I really do.

I so want to sit with Jesus and hear His words. I need Him to share what He’s thinking about. Yet I know that any sin I entertain has a hardening effect on my spiritual heart. This scares me. But truly he still holds me close, and he keeps his steady loving hand on me. *

Never underestimate a hardened heart. Never overestimate His love to free you.

*

For People Who Walk in Pain

“While he was in one of the cities, there came a man full of leprosy. And when he saw Jesus, he fell on his face and begged him, “Lord, if you will, you can make me clean.”

Luke 5:12. ESV

The man is desperate.  His leprosy has advanced; he is covered with it from ‘head-to-toe.’ He’s an outcast now, completely infected by something he never asked for; he is ‘unclean’ and completely without hope. There is no treatment, the doctors can do nothing. How bad can it get?

The leper knows that without the touch of Jesus, he will never be healed. 

He knows it; he doesn’t need to be convinced by anyone over the hopelessness of his condition. But somehow he has heard that Jesus can do real miracles. Could it be that Jesus can heal his sickness?

The leper comes and falls on his knees before the Lord, with his face in the dirt. This man is completely broken; he has no hope, except for Jesus. What else can he do? He is with any real hope.

Our diseases differ, but our lives have been completely changed by our pain. We all have this in common. 

Our pain and darkness vary. Some hurt more, some less. But we’ve all come to the place where we no longer have illusions of somehow being made whole. I sometimes think there should be a secret handshake or a password. We all share a comradeship– we’re all part of the same community. 

We’re a broken club of tired and decidedly unclean misfits.

And we belong to the fellowship of pain.

Lying in the dirt, we’re starting to believe the unbelievable.  Our faith doesn’t activate our healing, as much as it simply guides us to Jesus. We can kneel, and perhaps that’s all we need to do. His presence drives away the fear, the doubt, and the pain. He’s come, and somehow maybe, we begin to hope for mercy.

Only Jesus can carry us through this. Only He can do this.

I have struggled with deep dark depression. I’ve had to take meds.  But when I come into Jesus’ presence, all my melancholy is driven out. He comes and I start to hope again.  Am I a stellar example of perfect discipleship?  I think not. But isn’t about us becoming “angels,” perhaps it’s more about us learning how to kneel, and to allow Jesus to touch our hearts.

Some will understand this, others not so much. That’s ok.

“The Church is not made up of whole people, rather of the broken people who find wholeness in a Christ who was broken for us.”   

–Mike Yaconelli

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