Medical Encyclopedia

Persecutory delusion

What is persecutory delusion?

For a human individual perception of reality is characteristic. The strongly distorted picture of reality, which cannot be explained neither experience nor laws of logic, is named a mania.

Most psychical disorders are characterized by intrusive thoughts. Psychical disorders are varied. Delusions (distortion and denial of reality) behave to them, and also fears, obsessive-compulsive disorders (intrusive thoughts and actions), delusions (paranoia). Reality is in consciousness of man, suffering from delusions, can be distorted to the unrecognizability. For example, a man, fearing poisoning, does not drink and eat outside the house. It seems to someone that he is pursued by service safety. The most widespread form of paranoia is a persecutory delusion. A man, suffering from persecutory delusion, is sure in that someone watches or threatens after him. The forms of persecutory delusion are varied. For some patients maniac ideas arise up only occasionally, in other time their ideas and actions are fully normal. Other patients have more serious problems. A confidence in that someone pursues them, becomes important part of their life. However, these patients consider themselves absolutely healthy.

Symptoms of persecutory delusion

  • Thinking that someone is constantly pursuing and threatening.
  • Distrust.
  • Jealousy.
  • Insularity and self-isolation.
  • Attacks of aggression.

Causes of persecutory delusion

An excessive suspiciousness may affect even healthy people. However at presence of persecutory delusion suspiciousness arrives at such degree that disrupts human adaptation. Frequently a persecutory delusion is the concomitant symptom of schizophrenia. But it can be observed and at abuse of alcohol or medications.

Treatment of persecutory delusion

Persecutory delusion

If a persecutory delusion is caused by alcohol or medications, it is needed to renounce from them as quick as possible. If the cause of persecutory delusion is schizophrenia, in this case it is necessary to treat both persecutory delusion and basic disease. To improve the condition of the patient, psychotropic drugs are usually prescribed. If the persecutory delusion shows up in an acute form, sometimes electroshock is applied. At successful medicinal treatment a patient additionally heads for different rehabilitation procedures.

People, sufferings from paranoia, do not realize the illness and deny any proofs of its presence. Therefore they themselves almost never go to the doctor. Only native people and friends can persuade them to appeal for a medical help.

The doctor examines the patient, patiently talk to him. If the patient is suffering from a mild form of persecutory delusion, doctor will appoint psychotropic drugs. The doctor may apply family therapy, in which members of patient’s family take an active part. In severe cases, the patient is sent to a psychiatric clinic, especially if it is assumed that he might harm himself or others.

The regular reception of medications is important, otherwise the disease can have relapses.

Course of the disease

Persecutory delusion is a chronic psychical disease, which flows variously. The disease tends to recur. Usually persecutory delusion can be controlled with the help of medication.

Is persecutory delusion dangerous?

In severe cases (for example, if it is accompanied by the attacks of aggression) the patient may be dangerous, both for himself and for others.

If you suspect, that anybody suffers from a psychical disease, try to persuade him to see a doctor. The fact that paranoid is does not realize the illness, so he will never go to the doctor.

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