Do people with delusions live in delusions for a long time?

Everyone loves fantasy. Some people imagine that they are the heroine in the play and have thousands of favors. Some people imagine that they are supermen and have super powers. Some people imagine that they are powerful...

Usually people have certain fantasies, but it is normal People can clearly distinguish their fantasies. They know that what they fantasize about does not exist or is unrealistic. It is just a beautiful fantasy of their own;

But people with delusions will suffer from it for a long time. They are in delusions, and the things in their delusions are weird and have nothing to do with reality, but they firmly believe that these things really exist in them and are not "delusions". In other words, they have no idea that they are delusional.

Delusional disorder is a series of mental disorders characterized by long-term, systematic, and non-bizarre delusions. Patients with delusional disorder can usually maintain perfect personality and intelligence. Symptoms such as thoughts that have nothing to do with life events, such as being followed, poisoned, or unconditional crushes, are common clinical manifestations, which usually affect the patient's normal life and communication. , need to be controlled through medication-assisted psychotherapy.

So, why do people suffer from paranoia?

The pathogenesis of delusional disorder is relatively complex. It is usually caused by genetic factors, biological factors, and psychological environmental factors. It is more likely to occur in people with poor socioeconomic conditions, people with visual and hearing impairment, and those with visual and hearing impairments. Immigrants.

Main causes

Genetic factors

Most mental illnesses are hereditary. If one parent has the disease, the risk of the child will increase, but it does not It is not 100% genetic.

Biological factors

The occurrence of delusions is related to the temporal lobe and basal ganglia of the brain. The imbalance of neurotransmitters in the brain leads to the transmission and exchange of nerve cell information. It is also an important cause of delusional disorder.

Social psychological factors

Stress reactions caused by emergencies, abuse of psychotropic substances such as alcohol or related drugs, and long-term isolation are all common causes of delusional disorders.

Personal personality characteristics

Most patients have special personalities before illness, such as subjective, stubborn, high self-esteem, pretentious and overly self-evaluated, and at the same time sensitive, suspicious, and hospitable. Easily excited by associations and emotions. This type of personality is less able to treat various encounters in life realistically and is more susceptible to illness.

Others

Abuse of alcohol and certain drugs may be related to this disease.

People prone to paranoia

People with poor socio-economic conditions: This type of people are more likely to be socially isolated, and lack economic conditions, lack relevant psychological knowledge, and the ability to resolve emotions. Weak, delusional disorder may appear over time.

People with visual and hearing impairments: Visually impaired people and hearing-impaired people are common isolated groups in society, and because visual and hearing impairments are prone to visual and auditory hallucinations, they increase the incidence of delusional disorders.

Immigrants: Immigrants who have just left a familiar living environment are often prone to stress reactions in areas with cultural and language differences. At the same time, isolation is also an important factor in the disease, so they are prone to delusional disorders.

Influence of social events: Patients who have been suppressed and isolated for a long time from social culture or social life events are more likely to induce unfounded delusional disorders and lead to disease.

Typical symptoms of delusions

Persecutory delusions

Patients firmly believe that people around them or certain gangs will follow, monitor, attack, frame, or even eat or drink their food and water. Poisoning, etc. can lead to irritability and irritability, which are more common in schizophrenia and paranoid psychosis.

Delusion of love

Patients firmly believe that a person of the opposite sex is full of love for them, and the other party's rejection or failure to acknowledge is just due to social pressure or a test of themselves, which is more common in women.

Delusions of grandiosity

Patients exaggerate their wealth, status, abilities, rights, etc. It can be seen in manic episodes of affective disorders, schizophrenia, and organic mental disorders of the brain, such as paralytic dementia.

Jealousy delusion

Without any basis, the patient firmly believes that his partner is unfaithful to him, and he is strongly hostile to the opposite sex around his partner. It is more common in schizophrenia, alcoholic mental disorders, menopausal mental disorders, etc.

Somatic delusions

Patients may also suffer from hypochondriacal delusions, unfoundedly believing that they are suffering from some serious physical illness or incurable disease, and thus seek medical treatment everywhere, even through a series of Detailed and repeated medical examinations and verifications cannot correct their distorted beliefs, which is more common in schizophrenia, but can also be seen in menopausal and elderly mental disorders.

Mixed delusions

Patients have more than one of the above delusions, with no obvious preference.

Other symptoms

Hallucinations: Patients often experience auditory hallucinations and visual hallucinations, and can feel food that does not exist, often accompanied by delusions.