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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Mental Illness Concerns

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As with anything, those of us with mental illness have much to think through. I believe that God will direct us through these issues. And these are not static things. It isn’t “one and your done”– these are ongoing. They never get completely resolved; you must get used to this. The following list is not meant to be exhaustive.

  • Stigma— This is one of the basic hazards that comes with having a mental illness. People will whisper and treat you like a moron, even in church. You’ll need to be thick-skinned. Ask Jesus for his help. He understands what it’s like. At the time some considered him mentally disturbed. You’re in good company.
  • Medications– This will be a stretching time as you must determine what  is best for you, your family and basic functionality. There will be many opinions and many issues that will arise. Your patience will be required (but isn’t it always?) Oh, and booze is not a med. It is your enemy and a real threat to your sanity. Quit now.
  • Church“Not neglecting to meet together, as is the habit of some” should be our rally spot. We need fellowship.  It is easy to just go it alone, but we will suffer a barrenness which we will see in our hearts. (I’ve chafed at this from time to time.)
  • Therapy— To go or not to go? A good therapist is worth their weight in gold doubloons, but a bad one can be hard to abide. Also, a  Christian may not always be the best for you personally. My current is a unbeliever, but is very respectful regarding my faith.
  • Marriage—  A faithful spouse/friend is key to managing your mental illness. Invite them to your appointments. Talk, listen, talk, listen, talk. and then listen some more.
  • Family— They will feel the brunt of your issues. It is good to be aware of this and adjust to their needs. Above all, don’t flog yourself for your failings. Trust in the Lord to redeem things. Look for ways to love them. (Surprise ice cream does wonders.)
  • Work— Not surprisingly, some employers have little tolerance for your issues, but the law says is that they can’t discriminate against a mental illness. I hope it won’t come down to that.
  • Social/friend-– Finding other mentally ill believers is priceless. When I meet someone who also struggled with severe depression I give them a big hug. We instantly have a comradeship that isn’t easily defined.
  • Pray–Desperate prayers have a tendency to get answered. Start praying for five minutes a day. Pray, not complain. Be real, not religious. Talk with Jesus like he was your best friend. Prayer is the key to making everything work.

We have the joy of combining our discipleship with our illness. This is a formidable task. But the Helper, the Holy Spirit stands ready to give you wisdom. You will discover that its the tiny issues that can really ‘rock your world.’ (And I’m beginning to think that “grittiness” should be added to the fruits of the Holy Spirit?)

The Lord truly will accommodate your illness with His power and grace. He always does this for His children. No one is ever abandoned or forgotten.

There is no circumstance, no trouble, no testing, that can ever touch me until, first of all, it has gone past God and past Christ, one.right through to me. If it has come that far, it has come with a great purpose.” 

— Alan Redpath

These are only some of the areas that are affected by your mental illness. Oh, a wise spouse, pastor, friend, or a therapist can do wonders when things are out of whack.

The spiritual disciplines of prayer and the Word will assist you. Having people pray for you will be a necessity and may provide you relief and restore your sanity. Just remember, some people still remember how to pray.

“And I am certain that God, who began the good work within you, will continue his work until it is finally finished on the day when Christ Jesus returns.”

,, Philippians 1:6, NLT

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An Attack of Panic

A panic attack affects one out of 75 people, and can be quite disconcerting.  My panic attacks occur roughly once a month and last for about 1/2 hour.  When the acute symptoms first appear my first reaction is to resist giving in to it.  I get the “shakes” and start trembling.  For a long time, I didn’t know what caused them or more importantly what could stop them.

A panic attack is a sudden surge of an overwhelming fear that comes without warning and without any obvious reason. It is far more intense than the feeling of being ‘stressed out’ that most people experience. Symptoms of a panic attack include:

  • racing heartbeat
  • difficulty breathing, feeling as though you ‘can’t get enough air’
  • a terror, that is almost paralyzing, a seeming irrational fear
  • dizziness, lightheadedness or nausea
  • trembling, sweating, shaking
  • choking, chest pains
  • hot flashes, or sudden chills
  • tingling in fingers or toes (‘pins and needles’)
  • fear that you’re going to go crazy, or are about to die

You probably recognize this as the classic ‘flight or fight’ response that human beings experience when we are in a situation of danger. But during a panic attack, these symptoms seem to rise from out of nowhere. They occur in seemingly harmless situations–they can even happen while you are asleep.

In addition to the above symptoms, a panic attack is marked by the following conditions:

  1. it occurs suddenly, without any warning and without any way to stop it.
  2. the level of fear is way out of proportion to the actual situation; often, in fact, it’s completely unrelated.
  3. it passes in a few minutes; the body cannot sustain the ‘fight or flight’ response for longer than that. However, repeated attacks can continue to recur for hours.

A panic attack is not dangerous, but it can be terrifying, largely because it feels ‘crazy’ and ‘out of control.’ Panic disorder is frightening because of the panic attacks associated with it, and also because it often leads to other complications such as phobias, depression, substance abuse, medical complications, even suicide. Its effects can range from mild social impairment or to pretty much a total inability to face the outside world.

Is it a heart attack or a panic attack? Most of the symptoms of a panic attack are physical, and many times these symptoms are so severe that people think they’re having a heart attack. In fact, many people suffering from panic attacks make repeated trips to the doctor or the emergency room in an attempt to get treatment for what they believe is a life-threatening medical problem. While it’s important to rule out possible medical causes of symptoms such as chest pain, heart palpitations, or difficulty breathing, it’s often panic that is overlooked as a potential cause – not the other way around.

If there is any doubt at all, call 911 immediately. You can always call 1-888-NEEDHIM if you need to talk this out.

But when I am afraid,
    I will put my trust in you.
I praise God for what he has promised.
    I trust in God, so why should I be afraid?
    What can mere mortals do to me?

Psalm 56:3-4

 

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Further reading and help at: http://www.emedicinehealth.com/panic_attacks/article_em.htm

http://helpguide.org/mental/panic_disorder_anxiety_attack_symptom_treatment.htm