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Delusional Disorder

Delusional Disorder involves psychosis, which affects a person’s ability to differentiate between what is real and what is not real, and that the person will hold onto a false belief regardless of the evidence to the contrary. A delusion involves a circumstance or situation that could be possible even though it would be unlikely. Delusional disorder is certainly impactful to the individual, but consists of a small percent of the population (approximately 0.2%). It involves an individual experiencing delusions for at least one month or longer, but that they do not experience any other psychotic symptoms, and have not met what’s called “Criterion A” for Schizophrenia.

Although these delusions may be intermittently disruptive to their lives, individuals can “act fine” the majority of the time, functioning in a socially acceptable way. Delusions are often symptoms masking other disorders, such as schizophrenia. So it is important to rule out that the delusions are not a result of a diagnosis like schizophrenia, obsessive-compulsive disorder, depressive and bipolar disorders, schizoaffective disorder, involve a substance such as cocaine, medicine-induced psychotic disorder, delirium, or a neurocognitive disorder such as due to Alzheimer’s disease.

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