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Delusional Disorder

Persistent delusions without other psychotic symptoms.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Psikiyatri department. Book Appointment →

What is Delusional Disorder?

Delusional disorder, unlike schizophrenia, is a psychotic disorder characterized mainly by delusions (unfounded, irreducible false beliefs), with minimal hallucinations or disorganization.

Subtypes include erotomanic (belief that another person is in love with the patient), paranoid (belief of being watched), somatic (belief of bodily illness), jealous, and grandiose delusions.

Outside the delusional content, the person is often functional. Treatment adherence may be difficult because the patient lacks insight. Long-term psychiatric follow-up and psychoeducation are important.

Symptoms

Fixed and systematic delusions
Relative preservation of daily functioning
Suspiciousness and feeling of being watched
Jealous or grandiose ideation
Continuous medical seeking with somatic complaints
Excessive attachment to the delusional theme
Lack of insight into illness

Risk Factors

Middle-to-older age
Social isolation
Migration and language barriers
Sensory losses such as deafness
Family history of psychosis
Stressful life events
Premorbid personality traits (suspicious nature)

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When a person becomes fixated on illogical beliefs
  • When the patient blames family or community and relationships deteriorate
  • When daily life is impaired but the patient refuses help
  • When jealous delusions risk leading to violence
  • When somatic delusions lead to unnecessary medical procedures

Treatment Methods

01
Antipsychotic medications
02
Cognitive behavioral therapy (targeted to delusions)
03
Psychoeducation and family support
04
Long-term psychiatric follow-up
05
Trust-based therapeutic approach
06
Treatment of accompanying depression/anxiety

Which Department to Visit?

You can visit our Psikiyatri department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.