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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Being Obscure, Just Like Jesus

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But it is not this way among you, but whoever wishes to become great among you shall be your servant.

Mark 10:44

I am processing something right now. I suppose its implications have the potential of turning everything ‘upside down’ for me at least. Some scientists have postulated that our planet is due for a complete magnetic switchover. This is when north becomes south, and vice versa. My issues at this moment are not quite that cosmic, but nevertheless my own world is being ‘rocked.’

There are 7,000,000,000+ people now alive on this planet.

Sometimes I wonder if many of my issues come from not seeing this. It seems that there is an intoxication of success where we become increasingly confused and self-deluded over ‘who’ we are. We think it’s about our efforts, our giftedness. We are specialists in attaining and ascending. Pride often drives us, even among mature Christian believers.

3 “Don’t be selfish; don’t try to impress others. Be humble, thinking of others as better than yourselves. Don’t look out only for your own interests, but take an interest in others, too. You must have the same attitude that Christ Jesus had.”

Philippians 2

Jesus was not driven like we seem to be. We truly think we need to be assertive (at least the Christian version of it) and push our way forward. Jesus’ message and teaching were all about emptying Himself of being God, and becoming a servant of servants. And this is the arresting item we fail to consider–

Jesus did all of this while wearing a towel, not a crown.

Jesus, knowing that the Father had given all things into His hands, and that He had come from God and was going to God, rose from supper and laid aside His garments, took a towel and girded Himself. After that, He poured water into a basin and began to wash the disciples’ feet.  

John 13:3-5

He easily could have just did a ‘teaching’ on servanthood and I’m reasonably certain it would of been more than sufficient. But instead Jesus went to the uttermost and put ‘skin on His words’ and actually got down on His knees to wash dirty feet.

6 “Though he was God,
    he did not think of equality with God
    as something to cling to.
Instead, he gave up his divine privileges;
    he took the humble position of a slave
    and was born as a human being.
When he appeared in human form,
 he humbled himself in obedience to God
   and died a criminal’s death on a cross.”

How can we not do this? This is a hard question to ask, but does our own discipleship include emptying self out daily? Can I find peace and fulfillment by becoming an unknown? Is this what we’re missing?

“Humility is perfect quietness of heart, It is to expect nothing, to wonder at nothing that is done to me, to feel nothing done against me. It is to be at rest when nobody praises me, and when I am blamed or despised. It is to have a blessed home in the Lord, where I can go in and shut the door, and kneel to my Father in secret, and am at peace as in a deep sea of calmness, when all around and above is trouble.”   

Andrew Murray

 

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(All verses are from Philippians 2, NLT, unless noted.)

 

 

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‘A Drowning Kind of Despair’

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Photo by Evelyn on Pexels.com
“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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