Delusions & Paranoia

 

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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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 Sick

Potter shaping a ceramic plate on a pottery wheel

Potter shaping a ceramic plate on a pottery wheel

“So Miriam was kept outside the camp for seven days, and the people waited until she was brought back before they traveled again.”

Numbers 12:15

To be numbered among the chronically ill often can mean a transition into frustration. We can not do what we want, we are ‘trapped’ by a disease we never asked for, and held hostage by our minds and bodies. It seems apart, from the management of our symptoms, we have little time to do anything else. We once had a job– a career… and our time was occupied by that. We were accustomed to something more than this illness.

I once was a pastor of a small church here in Homer, Alaska. I also taught Gospels for many years at the Alaska Bible Institute. I loved both. They defined my identity and gave me purpose. I loved helping people and teaching the Word. I strived to be faithful in the ministry. My wife and two children were also significant and all of these things led me to think they would always be there. I was living my dream (in a good way.)

With the sudden onset of a brain tumor, followed up by a diagnosis of Bipolar disorder (BP), I knew I had to step out of the ministry. I simply could not function. My depression grew more profound with the stillborn death of our third child. Things suddenly ground to a stand-still as we tried to process what has happening to us. I guess I just couldn’t understand and more or less just shut down. I spent months in bed, unable to function.

Some people were jewels. Others were mean and uncaring. (I had to learn to take the good with the bad.) I suppose I should have been more forth-coming, but things were so tangled up inside I couldn’t verbalize a thing. The post-op surgery was an ordeal, as I had to learn many things all over again. Years later I ended up on disability; I was unable to work, and no one would hire me. My symptoms were so unpredictable, and things were too erratic. The BP was giving me it’s customary depression, as well as paranoia and hallucinations.

Sometimes, like Miriam, we are quarantined by the Lord for his purposes. The isolation is worse that the pain it seems. We wonder why this is happening, and fabricate lies about our worthiness or God’s goodness. In our isolation things seem polarized to extremes. Our value seems to be ripped apart by our illness. We can feel cursed, or worse.

I have been slow to learn this: God brings good out of the dark. I’m embarrassed by my lack of acquiring this truth.

“We now have this light shining in our hearts, but we ourselves are like fragile clay jars containing this great treasure. This makes it clear that our great power is from God, not from ourselves.”

2 Corinthians 4:7

This light must shine. The treasure is found in clay vessels. Brokenness only means the treasure is now seen clearly. It’s important to note: treasure loses none of its value by being surrounded by broken clay.

“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 by God. We get knocked down, but we are not destroyed.”

2 Corinthians 4:8-9

Troubles of various ilk come to us. They are variegated and unplanned. No matter what their nature, God holds his people in place while everything else is falling apart. But there is no magic wand; the pain will probably continue. But for the broken believer, there comes another dimension; a new supernatural layer of grace to bolster our beleaguered faith. We will triumph through this thing, and we will stand– because He makes us stand.

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The Blessings of a Long Battle, part 4

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In thinking about this final installment about how God can bring much good out of our protracted struggle with sin, weakness, or a problem, it dawned on me how important it is to see the Big Picture. In some ways this post reiterates truths in part 2 of this series, but also adds important new dimensions to those truths and explores new territory.

When a soldier goes through boot camp, it’s crucial for him or her to see the overall purpose of his training–the Big Picture. He or she is being pushed and tested in different ways to the extreme so that they will be prepared for any situation on the battlefield, won’t crack under pressure, and will be a team player.

In the conquest of Canaan under Joshua’s leadership, the nation of Israel experienced many victories over different hostile nations. However, Judges 3:1–4 says that God did not allow the Israelites to completely triumph but left certain enemies in the land (e.g., the Philistines) so that his chosen people would learn warfare.

When we became Christians, God could have put us in a cocoon of protective grace where we would be insulated from our three primary enemies–the world, the flesh, and the devil–but he didn’t so that we would also learn warfare.

If he would’ve sheltered us from the battle, we would end up like many “trust fund babies,” who, because of their vast inherited wealth, never have to work a day in their lives. They’re protected from the toil and struggle of life and never have to worry about paying the rent or the electric bill.

Often there is something profoundly missing in their lives: many are spoiled, shallow, and have not been battle–tested. Perhaps God designed an existence where we battled the world, the flesh, and the devil so that we would not end up becoming spiritual trust fund babies.

Macarius was a great monk who composed the Macarian Homilies in the 4th century. He was convinced that, if after becoming Christians, we were protected in a cocoon of grace from the temptations of the world, the flesh, and the devil, many of us would soon become conceited and fall as Satan fell. Instead of a three steps forward, two steps back grind that life often is, we would have a series of unbroken successes and become lifted up in pride and fall like Lucifer did.

In seeing the big picture, nothing is more important than understanding that God the Father through the Holy Spirit has been preparing a Bride for his Son in a Marriage that will span eternity. He wants you to be a part of that Bride. The Father wants the Bride to fervently love the Groom.

There is no love without free choice. If we would’ve been protected from the enemies of our soul, and choosing the Groom was exquisitely easy or even automatic, where’s the love that has been tested in the furnace of affliction? Like any spouse, Christ wants to be chosen. If we were automatons or even semi–automatons, where’s the love in that?

When we are in a long struggle with sin or weakness, it is because we have become over–attached to some created thing. Addiction is over–attachment in the extreme (e.g., overeating, alcohol, drugs, pornography, sex, power, work, shopping, etc.)

Christ the Uncreated One wants to be chosen over all the created things. Christ the Groom wants to stand in the midst of all his competitors–i.e. created things–and have the Bride choose him. One of the blessings then of a long battle is this: it’s the vehicle whereby we choose Christ as our Groom, as our only lover.

Does that love somehow go away if you’re a Christian who is up to your eyeballs in sin, addiction, and weakness? If anything God loves you more after you fall, because where sin abounds, grace abounds more. And as the old religious cliché tells us, he loves us in our sin and loves us too much to leave us there.

 *

Jonathan

Check out Jonathan’s own site at http://www.openheavensblog.com/.

 

When Truth Meets Love

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“You say, ‘I am rich. I have everything I want. I don’t need a thing!’

And you don’t realize that you are wretched and miserable and poor and blind and naked.”

Rev. 3:17, NLT

__________________________

If you would come to me and speak this boldly, I’d run you off.  “You have no right speaking to me in this way!”  Our personal relationships are essentially based on “boundaries.”  My continuing friendship with you is based to a large degree on your respecting these social rules and restrictions. We look to social protocol to guide us.

God is the only one we would allow to speak to us so boldly and directly (and even then it’s still unwelcome).

Self-sufficiency has become the specific goal of the speaker, it is how he measures a respectable Christian life.  Respectability however, is a disturbing development for simple believers.  “I don’t need a thing.”  Within our hearts there is a hunger to be independent.  Self-sufficiency and pride are disturbing thought processes for simple disciples.

There is a delusion that is quite prevalent– we may feel that we have arrived.  We finally are capable of something important.  We have done all the necessary things, we have jumped through all the hoops, and have “made it.”  It somehow feels like we have accelerated the sanctification process.  Much of this comes from a feeling of being ‘spiritually exceptional.’

Jesus is confrontive.  He will not diminish the truth, to spare our feelings.  I think that that is quite remarkable.  We esteem and value honesty, but when it is focused on us it seems difficult.

“You don’t realize that you are wretched and miserable and poor and blind and naked” (Rev. 3:17).

None of these five words would we use to describe ourselves. Let’s consider them anyway:

  1. wretched– terrible, very bad
  2. miserable– unhappy, depressed
  3. poor– lacking sufficient resources
  4. blind– sightless, without vision
  5. naked– bare, without covering

These five words that describe the “real” position of the believer in pride.  These five words dismantle us, stripping us of our lies.  We have evaluated ourselves and discovered that we must be exceptional believers. (Perhaps my innate specialness is true after all!)

Twenty years ago my wife and I took an evaluation for placement in a language school.  I assumed I was quite exceptional, but two hours later I was told that I failed the test and would be assigned to the lowest level for the rest of the semester.  I was shocked!  And my dear wife, was put into the highest. What a blow to my pride!

“We will speak the truth in love, growing in every way more and more like Christ.”

Eph. 4:15

He reaches out to us because He loves us profoundly.  It is a love that is not based on any kind moral performance.  However, it is quite necessary for us to step into the piercing light, and an intense desire to enter reality.  It is difficult for us to slough off the lies, and to understand what is true.  Trust me, Jesus speaks nothing but the truth, and He loves us while He does it.

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‘Aslan’ Speaks to All Who Will Listen

“‘You come of the Lord Adam and the Lady Eve,’ said Aslan. ‘And that is both honour enough to erect the head of the poorest beggar, and shame enough to bow the shoulders of the greatest emperor in earth.'”

    C.S. Lewis
Source: Prince Caspian

Jesus Christ is a God whom we approach without pride, and before whom we humble ourselves without despair.”

 –Blaise Pascal

He told a parable to those who were invited, when he noticed how they would choose the best places for themselves:”

Luke 14:7. CSB

 

 

 

Without the Spirit

“A church in the land without the Spirit is rather a curse than a blessing. If you have not the Spirit of God, Christian worker, remember that you stand in somebody else’s way; you are a fruitless tree standing where a fruitful tree might grow.”

–Charles Spurgeon

 

“How little chance the Holy Ghost has nowadays. The churches and missionary societies have so bound Him in red tape that they practically ask Him to sit in a corner while they do the work themselves.”

–CT Studd

 

 

 

 

 

Meandering Intensely Through Grace

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“For God knew his people in advance, and he chose them to become like his Son, so that his Son would be the firstborn among many brothers and sisters.”

Romans 8:29, NLT

“Just as we are now like the earthly man, we will someday be like the heavenly man.”

1 Corinthians 15:49

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Much speculation has been made regarding these two ‘pinnacle’ verses. We must approach them humbly to see what they are all about. We must see for ourselves all that concerns us. “They will not hear the voice of a stranger,” (John 10:5).

The Father has decreed, “Christlikeness.’ This is a mandate from the One who loves us unconditionally. (There are no whips being used.) We really need to enter this holy process with a sure confidence of a solid love.

His face burns brighter when we are positioned appropriately in His glory.

It begins now. The heavenly Father’s exclusive purpose is to “bring many sons to glory” (Heb. 2:10). We do not have to wait until heaven to become like Jesus. We can accelerate the joy by starting today. And when He comes, He will ‘clean house,’ (so to speak).

You are one of the selected. Few have the options and opportunities that have been offered. To ‘put on’ Christlikeness is a rare privilege. From this point on, you will move through the confusion as one assured of his place and calling. He has ‘marked’ you, you are His. Everything will move aside in the light of His calling.

I so want you to ‘long for heaven.’ It is the place where we will dwell permanently. But at this point, the Father needs you to ‘hash it out’ on planet Earth. There is a need for volunteers who will come from ‘free will.’ After all, we get to choose Him who holds our destinies within; He alone carries our burdens and sins. He knows me thoroughly, yet loves me still.

You need to decide soon of your next step. But know this– Christlikeness will never be forced or coerced. But it is the ‘ride of a lifetime.’ Sheer boredom will probably ‘do-you-in’ if you choose to just ‘pray the prayer’ and walk away.

But you will never know the thrill of standing under God’s grace blasting full over your thirsty heart.

ybic, Bryan

 

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