Talk:Delusional disorder

Recent edits

The recent reworking of the page to be a copy of the DSM-IV-TR criteria seems a little unnecessary. I don't think the page needs to list the DSM criteria verbatim, largely because there is more than one diagnostic system in the world and many conceptions of the disorder (some of which are included in the referenced listed). A link to the full criteria should be enough. Also, the criteria is not meant to be encyclopedic and reads poorly as an encyclopedia article.

I propose to return the page to something a little simpler and easier to read, keep the references (although with referenced properly, it is not clear where the prevalence information etc is from) and link to the full criteria (e.g. here).

- Vaughan 20:41, 28 Dec 2004 (UTC)

It isn't until item seven that we get the idea that the idea is "unlikely" -- Until then, you're describing someone who is merely passionate about an idea.Scott Adler (talk) 02:19, 11 March 2008 (UTC)

indicators of a delusion

Yikes, isn't it scary how closely that parallels with religious conviction? —Preceding unsigned comment added by 138.251.31.49 (talk) 11:51, 6 December 2007 (UTC)

very glad to see I am not the only one who thought that.... is there any sholarly research around the delusion vs spiritual faith definition... one quality seems to further reinforce this striking parallel? how do mental health specialist practically make a difference between a faith and a delusion? is it a simple question of frequency or number of follower or is there something else? —Preceding unsigned comment added by 38.98.7.26 (talk) 03:02, 9 September 2010 (UTC)

=Funny

when belief without any base is called delusion than our world is full of insane people.

Most of the population of the world is religious,some believe in horoscopes,4 leaf clowers anyone,Jihad heck even maths is delusional.Infinitry? I really think that his article if not this entire disorder should be classified. I suggest putting it a into a low class article.

There should be a limit here or else all of us should go to the psychiatry. The entire human mind was,has always been delusional."Lets kill some ppl cuz that will give us rain"Mayans or Aztecs anyone?

Imho,this is too biased.

conspiracism

This behavior coincides remarkably with conspiracism! I'll look for some RS. Does anyone have any? Johnnyt471 (talk) 00:57, 22 April 2008 (UTC)

use of medical language regarding mental health

In the article on Delusional Disorder, there is some language that follows a "medical model," e.g. referring to the person with the disorder as "patient" and using a tone that implies a certain derogatory attitude toward the individual with the disorder. It would be more current, and some would say more respectful, to say "individual" rather than "patient."

As for the other issue of overall tone, perhaps one thing that might be helpful is to provide more context for what causes someone with a bizarre idea to become diagnosed with Delusional Disorder. The article hints at the basic premise that a person only develops a disorder when their "symptoms" begin to cause a serious problem for them, interrupting their lives and/or relationships to a degree that is painful for the individual or dangerous to themselves or others. Stating that principle outright could be useful here.

Lastly, a section on treatment would be great. The central issues involved in Delusional Disorder are varied, but can include a severe trauma history, a threatened sense of self (the delusions are, in any case, deeply tied to the individual's sense of self), and possible physiological causes (severe nutritional deficits, specifically those caused by untreated celiac disease, can lead in some cases to psychosis - the Johns Hopkins Gazette, 2.23.04 ran an article entitled "SPH Scientists Find Link Between Digestive Disorder and Schizophrenia"). Given these underlying issues, a referral to a primary care doctor would be advisable, as well as perhaps Dialectical Behavioral Therapy (DBT) to help the individual develop increased skills to manage emotions as well as increased mindfulness skills to assist with insight.

ClinicalSocialWork (talk) 18:50, 23 April 2008 (UTC) ClinicalSocialWork

age-theme correlation

I think it would be useful for all psychotic disorders to know why there is an age correlation to delusional theme. In any case this article says it validates the DSM criteria...

"The age at onset differed significantly according to the type of delusional disorder, the oldest age at onset being associated with the persecutory type, and the youngest with the somatic type."

Acta Psychiatrica Scandinavica, Volume 97, Issue 2 (p 122-124) Notpayingthepsychiatrist (talk) 12:09, 22 February 2009 (UTC)

This site lists the ages of onset for males as: unspecified (19y.o), somatic (23), persecutory (37) and jealous (53). Another study showed plasma HVA levels of jealous types was less than persecutory - the subjects for this study were mostly female. Females are: somatic, erotomanic, jealous, not otherwise specified and then persecutory. In manic psychosis there is an increase of HVA with age - so the older the onset the more severe the symptoms. Journal of Affective Disorders Volume 48, Issue 1, 1 February 1998, Pages 83-86

after medication HVA reduces.

This site says delusional concerns may gradually progress: http://www.merck.com/mmpe/sec15/ch202/ch202c.html But this would be a synthesis of sources.

Annals of Neurology Volume 8 Issue 1, Pages 38 - 42 Age effect on dopamine and serotonin metabolite levels in cerebrospinal fluid Notpayingthepsychiatrist (talk) 11:54, 23 February 2009 (UTC)

Notpayingthepsychiatrist (talk) 03:37, 25 February 2009 (UTC) Notpayingthepsychiatrist (talk) 14:00, 28 February 2009 (UTC) And HVA levels must change in delusions too with age, as they always compare the deluded HVA with controls of the same age. Notpayingthepsychiatrist (talk) 00:14, 1 March 2009 (UTC)

claim that religous ideas are delusional

you need more relible sources before entering into a discussion about whether common religious belief are considered delusions...hence the tag added today Earlypsychosis (talk) 07:53, 11 June 2009 (UTC)

So glad someone else has already brought this up ... I was reading this article with a bit of a smirk on my face, because the pattern of religious expression which so many people exhibit exactly fits the symptoms described. —Preceding unsigned comment added by 68.225.91.186 (talk) 05:22, 12 June 2009 (UTC)

hang on a minute. Many people do experience delusions with strong religious themes. my objection to the previous edits was the implication that mainstream religion was a delusion. Earlypsychosis (talk) 11:35, 14 June 2009 (UTC)

Added a clarifying section to the delusions section - firmly held unshakeable beliefs in the face of apparent evidence to the contrary are not classified as delusions if they are in keeping with the patient's social, cultural or religious background - e.g. belief in witchcraft, voodoo or the evil eye amongst certain african and carribean populations, or belief in Jesus/Mohammed/Shiva for mainstream religions. Little Professor (talk) 13:56, 17 July 2009 (UTC)

is that all? your clarifying fact seems awfully slim and subjective. Is that the SOLE difference between a religious faith and a Delusion lies in whether the patient holds the same belief as people around him? so a person who would have espoused on its own a religion different from the one of his "background" is classified as suffering from delusion disorder? how about the first christian surrounded by pagan romans? or the first protestant in a strongly catholic surrounding? and the same goes on and on for anyone who innovate or change in the domain of belief....

seems to me that this "clarification" just reinforce the fact that all religions do qualify as delusion under this definition

== disorder, as opposed to the concept of delusion. Earlypsychosis (talk) 22:20, 24 June 2009 (UTC)

Oppose

1. I tend to disagree. Delusions occur in many psychiatric disorders - schizophrenia, psychotic depression, many manic episodes, schizoaffective disorder, and dementia. Also, many of these conditions are more commonly seen than Delusional Disorder. Delusional disorder is a specific DSM diagnosis to describe a longitudinal condition which is much less episodic than schizophrenia. It is not just mild schizophrenia. Still it is good to discuss these things. Casliber (talk · contribs) 00:14, 25 June 2009 (UTC)
2. Per Casliber. Somebody with paranoid schizophrenia would have delusions, but that doesn't imply they have a delusional disorder, which is a different condition. PhilKnight (talk) 12:08, 17 July 2009 (UTC)
3. Oppose. Delusional disorder should not be merged with delusions any more than schoziphrenia or bipolar disorder should. Delusions can occur in many different illnesses, not just delusional disorder. Little Professor (talk) 13:51, 17 July 2009 (UTC)
4. Oppose. Little Professor said it perfectly. Delusional disorder is a specific psychiatric diagnosis (both ICD and DSM-IV). A delusion is a symptom that is common to a wide range of psychiatric disorders. As the proposed merger clearly isn't viable, I'm going to remove the merger tags. Dgf32 (talk) 17:36, 26 July 2009 (UTC)

A merger may not be worthwhile but there is tons of info in the Delusion article which is a duplicate of Delusional disorder and can be removed. --Penbat (talk) 08:39, 20 November 2009 (UTC)