Tag: delusions

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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Understanding Depersonalization

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 Definition by Mayo Clinic staff

Depersonalization is a sense that things around you aren’t real, or the feeling that you’re observing yourself from outside your body. Feelings of depersonalization can be very disturbing and may feel like you’re losing your grip on reality or living in a dream.

A lot of people have a passing experience of depersonalization at some point. But when feelings of depersonalization keep occurring, or never completely go away, it’s considered depersonalization disorder. Depersonalization disorder can be severe and may interfere with relationships, work and other daily activities. It will sometimes ‘piggyback’ on other mental disorder, like Bipolar or PTSD.

Depersonalization disorder symptoms include:

  • Continuous or recurring feelings that you’re an outside observer of your thoughts, your body or parts of your body
  • Numbing of your senses or responses to the world around you
  • Feeling like a robot or feeling like you’re living in a dream or in a movie
  • The sensation that you aren’t in control of your actions, including speaking
  • Awareness that your sense of detachment is only a feeling, and not reality

Other symptoms can include:

  • The sense that your body, legs or arms appear distorted, enlarged or shrunken
  • Feeling like you are observing yourself from above, as if you were floating in the air
  • Feeling emotionally disconnected from people you care about

While episodes of depersonalization may last only a short time, some people with depersonalization disorder have episodes that last hours, days, weeks or even months at a time. In some people these episodes turn into ongoing feelings of depersonalization that may periodically get better or worse.

When to see a doctor

Passing feelings of depersonalization are common, and aren’t necessarily a cause for concern. But ongoing or severe feelings of detachment can be a sign of depersonalization disorder or another physical or mental health condition. See a doctor if you have feelings of depersonalization that:

  • Are disturbing you or are emotionally disruptive
  • Don’t go away, or keep coming back
  • Interfere with work, relationships or daily activities
  • Disrupt your family

Depersonalation can last just a few hours or more. It is believed that this is a response to anxiety—as the root cause. Panic attacks (acute anxiety) are often the culprit behind DP,

Useful Depersonalization Sites  (That I can recommend)

https://my.clevelandclinic.org/health/diseases/9791-depersonalization-derealization-disorder

http://www.mayoclinic.com/health/depersonalization/DS01149

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The Bipolar Believer

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“Unstable as water, you shall not have preeminence.”

Genesis 49:4

“And for those who live in the land where death casts its shadow, a light has shined”

Matthew 4:16

I’ve been down this road before. I’m not surprised by anything.

I guess this is my big issue with Bipolar Disorder (BP);  its unpredictability, and the way you fluctuate.  You get up in the morning and you immediately have to start analyzing your mood. 

“Am I more depressed than I was yesterday, or I am speeding up?” Am I acting appropriately, or am I stepping out of line again?”

For  B.P. people, we can never be totally sure about anything. 

We are always in a state of flux or movement.  As BPs who are believers in Jesus, it seems like we have broken every rule in the book, twice. This disorder almost always demands certain hypocrisy– which instills a lot of guilt and shame.

Almost 40 years ago, a visiting pastor to our church came up to me and told me that he had a word from God, especially for me. This was long before I was diagnosed with Bipolar. I can’t remember much, but I do recall him saying, “You are as unstable as water”. 

But I can also see now that my instability has made me a deeper, more tolerant person. 

I now give a lot of latitude to others’ shortcomings.  I know how difficult it is to process life and face issues.  Because I do this “yo-yo” thing, I can accept inconsistency as a normal part of life.  I realize that I’m not perfect, nor is anyone else I know. I’m learning to make allowances for it. 

Sometimes, just being aware is half the battle. And I’m starting to understand how God’s grace is given to others.

I’m learning to be gracious. I’m learning how to love, I think. Maybe this weakness is becoming a strength for me. I hope so.

“And He has said to me, “My grace is sufficient for you, for power is perfected in weakness.” Most gladly, therefore, I will rather boast about my weaknesses, so that the power of Christ may dwell in me.”

2 Corinthians 12:9, NASB

 

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The Sterile Curse of Social Isolation

“Whoever isolates himself seeks his own desire; he breaks out against all sound judgment.”

Proverbs 18:1

Research reveals the reality of social isolation.  It seems more and more people are veering away from social contact. A Duke University study found that Americans are choosing to become more solitary than ever. Many are eschewing all relations all together.  This is a problem, socially and spiritually.

I’ve seen some of the statistics– fully 25% of people have no relationships at all, and something like 50% have no relationships outside of their spouse and children.  This disturbing trend is building momentum.  In 1985 the figure was just 15%.

I think that a lot of pressure may be coming from the internet, although Facebook and Twitter have reconfigured social connections. Longer work hours, the phone and streaming video, all contribute to the move away from human contact.

The commute time is also a factor.  For every 10 minutes stuck in traffic there is roughly a 10% drop in social relationships.  So if you have a bad commute on I-80 you are more likely not to want to have a friend over.

Hundred years ago our society was far more geared for personal contact.  People would regularly visit each other.  Neighbors knew each other.  There were parlor games and dinners.  Music recitations and skits.  Card parties. Television and radio had not yet grabbed the countries psyche.  Sociologists and anthropologists confirm that our history was deep in contact with each other.  We were not built for solitary living.

With community life disappearing people are turning to online relationships. Our churches are trying to adapt, as even Christians are not connecting like they should.  I have been out in the Alaskan bush villages, and the older generation is frustrated because the younger generation seems to be in trouble.  “They don’t pick berries, or hunt; all they do is sit in front of the TV playing Nintendo, or their laptops.”

We need fellowship with others, and God as well. There are very few solitary believers.

I guess the biggest issue of all is mental illness.  Social isolation is a direct part of depression and other disorders.  In order to get better, people must reach out and connect.  There is no substitute, no other option.

I see the shift in my own life. I am seeking to back off from being online 6-8 hours a day.  I am trying to be around flesh & blood as often as possible.  I am personally trying to consciously maximize that time.

It keeps me healthier.

To be healthier, we think its physical.  We have our gym memberships and we run on the treadmill.  That is good.  But I’m thinking we are losing out if we don’t workout socially (and spiritually) as well. Christians are  a special species; we need fellowship with others, and God as well. There are no solitary believers.

“A man who isolates himself seeks his own desire: To cut one’s self off from family, friends, and community is often to express a selfish desire. It shows an unwillingness to make the small (and sometimes large) sacrifices to get along with others.”

David Guzik, enduringword.com

“This is the message you have heard from the beginning: We should love one another.”

1 John 3:11, NLT