Paranoia

Introduction to paranoia Paranoia, also known as delusional disorder, is a psychiatric diagnosis that refers to "having one or more non-grotesque delusions without any other psychotic symptoms." Paranoid patients have no history of schizophrenia and no apparent illusion. However, depending on the specific type, tactile and olfactory hallucinations may occur. Despite these hallucinations, delusional sexual disorders are usually well-behaved and do not trigger bizarre behavior. basic knowledge The proportion of illness: 0.08% Susceptible people: no special people Mode of infection: non-infectious Complications: schizophrenia

Cause of delusion

Physiological factors (25%):

1. Genetics: People in the same family have higher chances of suspiciousness, hidden or jealous personality. 2. Organic lesions: Head injuries, alcohol abuse, and even AIDS are all related to the onset of paranoia. Some people speculate that the temporal or marginal zone is damaged, or that the dopaminergic nerve is too active.

Psychological factors (20%):

Freud emphasizes the process of desire, thinking that delusions are the result of degeneration from homosexuality and fixed in the original narcissism period, love for same sex is forbidden, and then cast into suspiciousness and rebellion, other psychoanalysts also Emphasis on homosexuality, narcissism and projection. Sullivan believes that delusions can overcome inferiority and weakness, and are much more comfortable than tormented waking. 1. Primary delusion: refers to a sudden delusional experience or conviction that primary delusions are more common in schizophrenia, and have diagnostic significance for schizophrenia, and thus are highly valued. 2. Secondary delusions: refers to the delusions developed on the basis of existing psychological barriers.

Paranoia prevention

The incidence of paranoia is about 3 per 10,000 people, but many cases are still undiagnosed, so the actual number should be more than that. The chances of women and men seem to be equal, and the age of onset is very wide, although large Most of the patients are unmarried, but some have been married before the onset of the disease, and the personality traits before the onset are mostly isolated and unsocial. To avoid getting sick, people should pay attention to cultivating a sound personality, cultivate a variety of beneficial hobbies, and maintain a broad mind. If you are not comfortable for a long time, you should learn to control yourself, go online or go to the library to check the relevant mental health knowledge, make a simple judgment on your symptoms, and then actively adjust yourself: for example, find friends and family to talk about the day, or participate in some Sports, or go sightseeing. In addition, finding a psychologist to do psychological counseling is the most effective solution. The psychologist will make various solutions to each person's situation and gradually guide people to return to a happy life.

Paranoid complications Complications schizophrenia

Paranoia is one of the symptoms of schizophrenia, which can progress to schizophrenia without effective psychotherapy and counseling.

Symptoms of Symptoms Common Symptoms Single episodes of depression persecution delusions mechanically repeating around... Paranoid delusional narcissism is prone to pathology

Imagine that there are short-lived and persistent things, the content of delusions is coherent, and those who are compact are called system delusions; content is divided, inconsistency, and lack of logic is called non-systematic delusion.

The delusional content is generally related to personal experience, social and cultural background, and sometimes reflects the real life content. With the progress of the times, the content of religion, divine power, ghosts and foxes is obviously reduced, replaced by modern devices such as eavesdroppers, lasers, computers, etc. The content of technology.

Imagine sometimes confused with some wrong ideas that normal people insist on, such as prejudice, superstition, and misunderstanding, but the latter are mainly caused by factors such as thought methods, level of understanding, environmental effects, personal emotional influence, lack of scientific knowledge, and so on. With the mastery of knowledge, they can be corrected through the accumulation of education and life experience.

classification

1. erotomanic type: Also known as de Clerambault's syndrome, patients will think that they are in love with someone, or that another person is deeply in love with themselves. This type is more common among women, but in court cases it is male. More common, lover in fantasy is usually a higher status (such as celebrities, stars or bosses), many times is out of reach, or even a "Phantom of the Shadows", in reality does not exist, patients often believe that the other party first fell in love I myself, but in reality there are only a few people who have little or no real contact. Although the patient sometimes woven an excuse for each other, they will be angry and make some unusual moves, such as tracking, harassing, attacking, kidnapping, murder, or If you want to save your lover from the danger of fantasy, you often break the law.

2. Grandiose type: I want to have supreme talent, insight, value, power, knowledge, identity, etc. Under the drive of this idea, patients will deliberately change their way of life to cater to delusions. Luxury, arrogance, and fanaticism, arrogance may have religious content, such as believing that you have a special message from the gods.

3. Jealousy type: Also known as Othello syndrome, it is a pathological thought that considers that your spouse or lover is unfaithful, and the patient does not take some methods first (such as hiring a private detective or Install a camcorder at home to sneak a partner) to obtain evidence of infidelity, but to collect some trivial evidence (such as messy clothes, spots on the sheets, etc.), to erroneously infer and confirm that the illusion is true, in most cases, these allegations are completely It is fictional, but sometimes a partner has been infidelity, and the case usually challenges his or her spouse or lover, and attempts to prevent the imaginary infidelity.

4. Persecution type: Persevering that you are persecuted, deceived, followed, poisoned, defamed, or conspiring, patients tend to become extremely cautious and prepared, and small scorn may be amplified by the patient. It becomes the core of delusion, and often involves the relevant people into the world of their own imagination.

5. Somatic type: The patient insists on his own illness, so he often seeks medical treatment everywhere. Although the treatment is ineffective, he is still tenacious. The common pattern is that the patient is convinced that he is from the skin, mouth, anus, or vagina. Other parts emit odor; or parasites in the body are drilled, climbed; or insects cling to the skin; or a part of the body is deformed or ugly beyond the common sense; or some part of the body has no function.

6. Mixed type: The type of delusion that does not have any type is more prominent, or a mixture of several types of delusional types is applicable to this classification.

7. Unspecified type: The main delusional content cannot be clearly defined, or can not be described by the above specific types, such as relationship delusions, etc., Cotards syndrome can be said to be an extreme illusion, such as patients will say their own heads Or the internal organs are completely destroyed, or hollowed out, or their family members are no longer there.

Paranoia examination

The examination of this disease is mainly for the cause of the disease. Because the disease is a mental disease, the clinical examination mainly carries out head CT and MRI examination to determine whether there is an intracranial space-occupying disease, resulting in delusional seizures. Secondly, psychological counseling is needed to clarify the psychological state of the patient and to conduct psychological counseling to alleviate the starting factors of the patient's delusions.

Paranoia diagnosis

diagnosis

Diagnosis is based on clinical manifestations.

Differential diagnosis

Paranoia should be differentiated from schizophrenia.

Paranoia is one of the symptoms of schizophrenia. However, sometimes or temporarily paranoia does not mean that you have schizophrenia. Paranoia patients have a paranoid personality foundation. The objects and contents of delusions are fixed and the structure is strict. It has a systematic tendency, a more emotional relationship, and a complete personality, while a true schizophrenia patient does not have the above characteristics.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.