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Doctor insights on: Delusional Disorders

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What constitutes a delusional disorder?

What constitutes a delusional disorder?

Delusional d/o: Is a condition characterized by nonbizarre delusions (false belief strongly held in spite of invalidating evidence) involving situations that occur in real life (being followed, poisoned, infected, loved at a distance, or deceived by spouse or lover, or having a disease) of at least 1 month’s duration. The individual can not have schizophrenia or other psychiatric condition causing the delusion. ...Read more

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Is it possible for delusional disorder to go away?

Is it possible for delusional disorder to go away?

Hard to say...: ...given that we have very limited good data on the natural course of delusional disorder, which is characterized by delusions that are unaccompanied by other psychotic symptoms such as hallucinations. Most people suffering from the disorder have limited insight, do not seek psychiatric help, meaning scientific data is scarce. Antipsychotics can produce at least partial relief in many cases. ...Read more

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Will a person suffering a delusional disorder know they have the disorder?

Will a person suffering a delusional disorder know they have the disorder?

Delusion: Delusional disorder patients usually maintain some insight or awareness of their illness and question them at times but cannot control them, unless their delusions are part of another psychotic or mood disorder, where insight is limited. ...Read more

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Can someone help me identify which kind of delusional disorder my friend has?

Can someone help me identify which kind of delusional disorder my friend has?

A psychiatrist: A psychiatrist can help your friend with whatever delusion problem s/he might have. But unless your friend signs a release of information allowing the psychiatrist to share information with you, s/he will not do that. Privacy is very important for good treatment. ...Read more

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I'm almost certain I have a delusional disorder. Will it go away on its own with time?

I'm almost certain I have a delusional disorder. Will it go away on its own with time?

See a psychiatrist.: The first thing to do is to find out if you really have a delusional disorder. If you do, it does not go away by itself if you don't know what is causing it. Consult a psychiatrist to be sure. ...Read more

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When do delusions in delusional disorders peak?

When do delusions in delusional disorders peak?

It depends: I suspect you have been waiting for an answer because your question is not clear. What do you mean by "peak?" if you are asking when symptoms are at their worst, it depends on the circumstances and on what is causing the delusions in the first place. ...Read more

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If you have delusional disorder can you be not functional and also can you have thought disorder?

If you have delusional disorder can you be not functional and also can you have thought disorder?

Delusional disorder: Delusions are false beliefs that are firmly held despite evidence to the contrary, and not typical of the person's culture, faith, or family. They can be part of formal thought disorders (schizophrenia) but can also appear in people who function well except in the delusional area. In the latter case, the delusions are plausible rather than bizarre -- but are still false thoughts. Meds may help. ...Read more

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Can my delusional disorder be ruled out if I have a problem of high cortisol levels in my body i.E cushings syndrome?

Can my delusional disorder be ruled out if I have a problem of high cortisol levels in my body i.E cushings syndrome?

Maybe: How do you know you have high cortisol levels in your body? If you have seen a doctor who has done tests to determine this, then it is important that they also attempt to determine why you have these high cortisol levels. Then it is important for you to be treated appropriately based on what they find. Your delusional disorder should then go away if it is the result of elevated cortisol. ...Read more

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How is schizophrenia different in comparison to delusional disorder?

Both psychotic dxs: The criteria for a diagnosis of schizophrenia are more complex, generally including two or more "characteristic" symptoms (delusions, hallucinations, etc) as well as social/occupational dysfunction and other elements. A diagnosis of delusional disorder requires non-bizarre delusions (situations that occur in real life) and no significant functional impairment (among other requirements). ...Read more

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Can a person suffering from mixed type delusional disorder go back to normal after treatment?

Can a person suffering from mixed type delusional disorder go back to normal after treatment?

Yes: Obviously there are no guarantees but many mental conditions including the serious one that is mentioned can be put into remission and allow a patient to resume normal functioning. Frequently maintenance treatment may be necessary. ...Read more