Learn More about Delusional Disorder

Learn More about Delusional Disorder

Delusions are a type of serious mental disorder known as psychosis. People with Delusions or Psychosis are characterized by a discontinuity between thoughts, imagination, and emotions, with actual reality, or in slang called Halu. People with delusional disorders believe in things that are not real or are not in accordance with the actual situation, both in terms of work, life, experience, etc. Even though it has been proven that what the sufferer believes is very different from reality, the sufferer still clings to his thoughts as if everything really happened.

Delusional factor

It is not known exactly what causes a person to experience the delusional disorder, but several studies have found possible things that can trigger hallucinations as symptoms of delusions:

Heredity (genetic) and Biological

Delusional disorders can be caused by gene abnormalities, can trigger disturbances in a person's brain or hormones. This condition can be passed on to children, so children of sufferers have a greater risk of experiencing delusions. The delusional disorder also has the potential to appear in people who have abnormal brain regions, especially in the part of the brain that regulates thinking and perception.


The environment plays an active role in a person's mental development, an environment full of pressure, hatred, or even restraint will make a person drop so they are very vulnerable to this disorder.

Drug abuse

One of the factors that are commonly found in today's society is the use of drugs with minimal supervision. One of the effects of drugs commonly used for "flying" is hallucinations, where users unconsciously believe what appears from their hallucinations so that it will slowly affect the patient's state of mind.

History of mental disorders

People with severe mental disorders such as alter-ego, bipolar, schizophrenia, etc. are very susceptible to complications of mental disorders. Among these delusional disorders can be caused by a history of other mental disorders, such as schizophrenia, anxiety, etc.

Types of delusions

Grandiose delusions

People who suffer from Grandiose Delusions / Delusions of Greatness are people who feel themselves the highest of everyone, both in terms of wealth, position, intelligence, power, intelligence, good looks, and even he admits that he is an important person. Usually, this disorder is triggered because in his environment he feels not loved or appreciated by the people around him, so he wants to claim that he is more than others, for the sake of ambition and recognition.

  • Anxious if there are people who are better than him, so that as much as possible this person will look for a new story that is higher than the other person, and he really believes in his own story.
  • Feeling himself more than others, by claiming to be an important person, having a relationship with the president, king, or celebrity, claiming to have a salary above the other person, high status, and others. For the sake of a confession from the interlocutor.
  • Feels the most intelligent, intelligent, genius, and believes that he has found an important discovery such as a theory, world community, etc. Usually, this kind of person will talk more / argue with theories that come from his opinions and thoughts than valid facts because he believes that he is more than others / his interlocutors.
  • Feeling that you have great talents, such as fortune-telling, reading auras or characters, mastering foreign languages despite the fact that they are translated, or being a good painter. This is done solely to attract attention or amaze the interlocutor / another person.

Erotomania / Obsessive Love Disorder

This Erotomania / OLD sufferer is when someone feels very loved by others. When in fact this is not the case, even if the person already has a partner or doesn't care about him at all, this person will continue to try to stalk and interact with the person he or she is obsessed with. Some common habits experienced by people with erotomania:

  • Restless when he sees the person who is the object of his delusions making friends or having relationships with other people.
  • Trying to find out the private life of the person he is obsessed with, even to the point of stalking how his private life is.
  • Always tries to get in touch with the person he or she is obsessed with, whether it's always a class assignment with that person, or always pretends to be familiar with mentioning the person's name or initials in his social media status to satisfy his delusions.

Delusions of Pursuit (Persecuory)

The Persecutory sufferer has an overwhelming fear of events that simply didn't happen. Like feeling disturbed by others, feeling that others will harm you, or afraid that he would be the target of a crime. Usually, Persecutory is caused by past trauma, anxiety, excessive anxiety, phobias, etc. Some common habits experienced by people with Persecutory:

  • Feeling watched by other people who intend to harm him, so he is never comfortable leaving the house alone.
  • Feeling that other people talk about, insinuate, or offend him so that this person will react to it even though in fact it has nothing to do with him. This happens because the Persecutory sufferer starts from Grandiose's Delusional disorder, so they believe that he is an important person who will be harmed by others, dropped, etc.

Somatic Delusions

People with these delusions have the belief that they have a disease or a disability. Usually, the diagnosis he does without going through the screening / medical check-up stage first. They look for info from the internet or books, and match the symptoms they experience, then believe that they have a disease/disability. Because of this self-suggestion and belief, people with somatic delusions will slowly feel the sensations of symptoms such as what disease he believes is the result of his own suggestions, if the person believes that he has had a stroke then he will believe that his body parts feel powerless or numb. Some common habits of people with somatic delusions:

  • People with somatic delusions will usually feel the sensation of symptoms of a disease that he believes, such as paralysis, pain, or itching. It was the impact of his suggestions and confidence in his current condition.
  • Doing self-medication for a disease that he believes in, usually, he will come to the hospital many times for MC, even though the results are not suitable, he still feels that there is something wrong with him.

Mixed Delusions

Mixed delusions are a common condition for someone who experiences more than one type of delusion that I mentioned above. Usually occurs because when there is one delusion that is not treated, it will bring about another delusional disorder. Because basically, delusions that are left unchecked will exacerbate the situation by encouraging the emergence of other delusions. Some examples of the connection between delusions experienced by people with mixed delusions:

  • The patient has Grandiose delusions but is in omission. So usually it will trigger Erotomania delusions because he thinks that he is superior, more than others so that there are people who are crazy about him, so this Erotomania delusion appears.
  • The patient has Grandiose delusions but is in omission. Then there will be the possibility of Persecutory delusions because they think he is an important person so that there is a fear of being harmed by bad people.

Characteristics of delusions

Actually, delusions do not have significant special characteristics, but there are several possibilities that can be used as characteristics/symptoms of someone experiencing delusions:


People with delusions have beliefs in things that are not real or fantasy. This belief is very firm, even though we have given valid facts or the belief has been refuted by facts. But people with delusions will be very strong in believing what they think is true.

Easy to get angry

People with delusions are usually very sensitive if their beliefs are refuted or disproved, even by valid facts or data. They will be easily offended and overreact to it.

Swing Mood

People with delusions usually experience very irregular mood spikes, when they are happy or happy, usually will suddenly turn agitated, moody, bad, or even angry. This is because there is a conflict in the mind between the real thing and fantasy.


People with delusions very often experience hallucinations, either from dreams or daydreams. These hallucinations occur due to obsessions and beliefs that sometimes fill the entire mind throughout the day. In fact, these hallucinations are felt very real by people with delusions, such as feeling pain (sufficiently delusional), worm ear sounds of idols (sufficient erotomania), and others.

Treatment of delusions

Although it is a severe mental disorder, which means it cannot be treated, psychosis can be controlled with the help of a psychiatrist. There are several steps and methods that can be done in order to help the patient to control himself:


This treatment is very important for the basic stage of treatment of psychiatric disorders, with the use of antipsychotic drugs it is hoped that it will reduce or even temporarily eliminate the delusions experienced by the patient. This treatment is also able to make it easier for the therapist to help patients restore their mindset. These stages include:

  • The approach, by building the patient's trust in the therapist (doctor), will reduce or eliminate the patient's sense of resistance to being treated. Because usually, ODGJ feels that they are not having any problems, so they refuse to undergo treatment. Apart from the stigma of the community who have a bad view of ODGJ.
  • Administration of low to high doses of drugs depending on how the patient responds to treatment. If the patient's trust in the doctor is strong, then the patient will not realize that he is being treated, and even tend to comply with the next steps.



The next stage is therapy, where there are many therapies that can be used such as reframing, cognitive, NLP, disc, and so on according to the patient's condition. This therapy is strongly influenced by the therapist's role and the coping of friends and family as a healing strategy.