What is Delusional disorder? How Is It Different From Schizophrenia?
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- Опубликовано: 19 май 2024
- Delusional disorder is very different from schizophrenia. The only thing they have in common is the presence of delusions. Schizophrenia is delusions, plus hallucinations, disorganized thoughts and behavior and other cognitive or thinking problems.
A delusion is a fixed false belief. Despite evidence that goes against what you believe, you still believe it. Delusions can be a part of other psychotic experiences like mania, depression and substance intoxication or withdrawal.
The delusions you see in schizophrenia tend to be bizarre in nature whereas the delusions you get with delusional disorder are non-bizarre and possible. An example of a bizarre delusion is believing that our insides are being replace while we sleep. A non-bizarre delusion is believing that a famous person is in love with you. It’s probably really unlikely, but it’s possible.
The main criteria for delusional disorder is that you have a delusion that lasts at least one month. There are certain personality disorders where people can experience very short-term psychotic experiences that last minutes to hours. You can see this with paranoid personality disorder and borderline personality disorder
But those very short, transient psychotic experiences would not be considered a delusional disorder.
Personality Disorder Playlist • Understanding Personal...
There are 6 types of delusions in delusional disorder.
1. Erotomanic type. This is when you believe that someone is in love with you.
2. Grandiose type. With this delusion, you believe that you have a great talent or insight that people just haven’t discovered yet or you’re on the verge of a big discovery.
3. Somatic. It involves delusional beliefs about body functions or sensations.
Common somatic beliefs are: you emit a foul odor, you’re infested by insects in your skin, you have a parasite in your body, or parts of the body are not functioning.
4. Jealous type. With this, the person believes their partner is unfaithful. They may see minor things like you have disheveled clothing as evidence of the infidelity.
5. Persecutory. With this type the person feels they are being conspired against, spied on or poisoned. The person may also feel like someone or some entity is holding them back from achieving a certain goal.
6. Mixed type. This is where no one specific theme predominates. You may have features of a few of the types.
These delusional themes can be present in illnesses that have delusions. For example mania can have grandiose delusions. With psychotic depression, people can have persecutory delusions.
Delusional disorder may not be obvious to other people. Because the delusions can be compartmentalized in a way that you can have normal functioning in every other aspect of your life that doesn’t involve the delusion.
Delusional disorder tends to remain stable over time, meaning it can intensify and cause problems or run quietly in the background of your mind. But, a small portion of people can go on to develop schizophrenia - not because it causes schizophrenia, but it may be more of what we call a prodrome to schizophrenia. A prodrome is an early stage of an illness where you can have some symptoms of a larger illness but not all of them. So in some people, delusional disorder can lead up to schizophrenia, but that’s not the usual.
If the disorder doesn’t cause a lot of dysfunction, you may not seek professional help for your beliefs. Since it doesn’t make you globally psychotic and out of touch, many people will just keep to themselves about their beliefs to reduce conflict.
Therefore, delusional disorder is something people can live with without seeking help. Sometimes the intensity of the belief can come and go such that you get less focused on it. Then under stress, the thoughts can ramp up again.
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Want to know more about mental health and self-improvement? On this channel I discuss topics such as bipolar disorder, major depression, anxiety disorders, attention deficit disorder (ADHD), relationships and personal development/self-improvement. I upload weekly. If you don’t want to miss a video, click here to subscribe. goo.gl/DFfT33
Disclaimer: All of the information on this channel is for educational purposes and not intended to be specific/personal medical advice from me to you. Watching the videos or getting answers to comments/question, does not establish a doctor-patient relationship. If you have your own doctor, perhaps these videos can help prepare you for your discussion with your doctor.
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When I was a child (in the 70s) I used to fantasize that in the distant future information like this would be readily available to me in an instant whenever and wherever I wanted. I didn’t know how. I had science books but never enough or access to enough books. I’m glad I lived long enough to experience the net and great channels on YT like this one. Thank you, Dr. Marks.
I just wish we could get rid of the social media aspect of modern society
@@anonymousmobster2444 Social media certainly has its downsides but there are may positive aspects, too. Social media tend to magnify dysfunctional or toxic behavior that is already there. OTOH, it allows people to keep in touch with family and friends, find people that were important to them that they have lost touch with, and find people that enjoy the same hobbies or have the same values as themselves.
That's funny!! I too can remember wishing, in the 70s as a 13 year old at summer camp, that there was a way to capture all the fantastic nature and canoeing experiences I had as seen from my eyes in a moving format......did someone say GoPro?😉
I feel the same gratitude (kid of the 70s - the internet and phones with video cameras are way better than a Jetsons car lol I am not down with self-driving cars like I assumed I'd be lmao)
Father is that you?
I think I suffer from persecutory delusions. I think people are constantly watching me, but not necessarily trying to harm me.
That could very likely just be some kind of social anxiety. Feeling like people are looking at you is something a lot of people experience at some point when dealing with anxiety or low self esteem. It becomes delusional paranoia when it's a constant feeling (extending to in private areas such as in your home) and when you feel that the people that look at you are working together in a conspiracy against you
Also, it sounds like you are too self-conscience. I have suffered from that off and on. Look up Jordan Peterson’s advice on increasing the meaning in one’s life. He describes how when people are voluntarily immersed in something productive and meaningful like helping others, their career, a hobby or even chores, they decrease their self conscience behavior and really start enjoying life more because time doesn’t drag and they feel more competent and confident.
I am the same way. Sometimes i feel like my work can see my google search history and think i am weird lol 😂
I worked on a goal of my choice which was trying to get better at golf so what that means is i started doing all the training and practising to get good and what it done mentally is build more confidence and which got got rid of the self awareness that comes with social anxiety. So its basically lack of confidence and self esteem. So set a goal snd work on it and you will gain confidence and your self awareness and social anxiety will not really bother you.
It IS true that others are watching you, especially if you are presenting something or speaking. We're also all being captured on screens, ring bells, drones, satellites and CCTVs anytime we go outside. It's also true that people notice things about others - be it strangers on a subway or coworkers at a lunch table. "That's a gorgeous top, where'd you get it?" "Wow, tuna fish 3x this week, you're really hitting your new eating plan hard!" etc. This is just about survival and paying attention to our environment. It is NOT personal.
Additionally, most decent people will ask gently if you're OK or need any help when you look like you've been crying or are overwhelmed.
SO YES, WE ALL WATCH EACH OTHER TO A CERTAIN EXTENT.
However, most people are preoccupied with their own image and their own goals more than they are with other peoples. For example, if you're at work and giving an update on what you did, people may be looking at you, but most people will be thinking about what they're going to say when it's THEIR turn. Even your boss, who asked for the updates, might be thinking about which items they will select to comment on, with concern or praise, rather than absorbing everything you are saying at that moment. So NO, people are NOT watching EVERY move YOU make and you are not the only one being scrutinized. Even when people ARE looking AT you they may not consciously register it: instead they could be looking right at you and zoning - thinking about what they have to pick up at the store later that day, etc.
Knowing all this may help you feel a little less uneasy, I hope. 💞 It might even make you feel okay that you don't have to be perfect. Try this for a challenge: on a Saturday, think about your boss. What color shirt did she/he wear every day last week? How far back can you go back with certainty? What about your best friend? See? Even with the best memories of those we spend so much time with we tend to let go into the fog of the past (unless of course it, if it was a special occassion, OR traumatic event). You see, we are all the center of our own universes, in a way. 🤔 🌏
Remember teach children to always treat other children with kindness
I had delusional disorder for around 7-8 years, and I'm happy to see someone talking about it, especially as well as you do. You explain everything important in a very clear way. Thank you.
8 fucking years what am i supposed to do in that time. :((((
How did you recover from this. My sister has this condition and it seems very difficult to treat. Great to hear that you have overcome this .
😢 please tell us more about your journey?
I had a friend in high school who seemed "normal" in every way but one: She was convinced that David Bowie (the musician/actor RIP) was in love with her. Given the chance, she would tell anyone and everyone this. She also had a collection of ongoing lies around this theme; for example, she missed school because David had asked her to join him in England and help him out of a song writing rut; or she couldn't go out because David was going to call and she had some suggestions on a specific "top secret" release that was about to drop. If someone innocently said something like, "Oh yeah, I just love David Bowie!" She would say something like,"Really? Would you like to meet him? I can arrange that you know." Sometimes when she'd pull out an album of his to play, she'd hand the inner sleeve around and gush about "how exciting" that it was that David had "finally" recognized her in the thank yous or writing credits. When someone would point out that her name was not there, she'd respond with surprise, examine it closely, and say something like,"Oh yeah, you're right....this is the American release. They wouldn't let him put it on there for copyright reasons. But he still managed to get it on the UK release, which is all that really matters. Sweet, sweet David, always thinking of me." Everyone in her family knew she had this delusion but they thought it was funny and that she was just kidding around or "pretending." I don't think she ever got treatment for it.
Thanks for sharing this. Someone close to me had something very similar about a succession of singer/songwriters--never more than one at a time, I think. Like little 'relationships' that took place in dreams; and then they would sometimes tell me about secret messages to them in the lyrics. I was very young, and found it all very confusing; was so surprised that there was a term 'erotomania' for this oddly specific thing.
@Analog Park Wow, thanks, I had never heard of that. Much appreciated!
So I have this childhood friend she has been having this severe delusion of men falling in love with her (including supervisors at work, married men, men have kids) for few years. For example, she thinks her previous married manager was falling in love with her because he gave her a lot of projects and tasks to do...... I recommended her to try therapist once. After she talked with the therapist, she said it’s no use and she felt like she was CURING the therapist. I felt like it’s the same kind of delusion with your friend?
@@enaquasanitas7017 Their ages varies. I remember she was confessing her love with one of the guys (that guy has a girlfriend and he told her about it), the guy panicked and said he thought they were friends and if in anyway he made her getting the wrong idea he's sorry. Then the guy stopped talking to her. She told me she can feel that the guy was so much in love with her but due to some irresistible cause he can't tell her....... So I agree with you, that can get really bad for those men.
@@enaquasanitas7017 Oh no I’m so sorry this happened to you! It must be very confusing and frustrating on the receiver end of this thing! Yes, when they have this Issue every single word you talked to her would be considered as “flirting” on her side. That friend of mine thinks when a guy talks to her, even if it’s a simple hello, has deep meaning behind it🤷♀️
I had a somatic delusion while I was pregnant with my first son. I was convinced I had a parasite growing inside of me. I only told my husband and a good friend about it. She even joked after I gave birth that he wasn't a parasite after all but a perfectly healthy baby boy. I can laugh about it now, but at the time I had so much anxiety over it. It kind of makes more sense, now, because that's when all of my mental health issues began. About 6 months after he was born, I developed severe anxiety and depression, bad enough to be diagnosed with post-partum depression.
I’m pregnant and started having thoughts some people are out to poison me while pregnant and it’s stressful having theses thoughts because I can’t let it go .
Are you doing better now? I hope so. ❤
Pregnancy is such an incredibly tough time. Your hormones just explode and it can have all kinds of side effects.
From a certain point of view you did have a parasite growing inside you, a parasite is an organism that is benefitting from another organism at the hosts expense. A baby is an organism benefitting from its host at the hosts expense. So by definition you technically had a parasite growing inside you 🤣
I went through psychosis and it was horrible. People always say about thoughts and voices and visual hallucinations, nobody ever tells you they add up and up and everything can add to it, then people dont realise that your thoughts could tell you little bombs are being implanted in your body by things out of sight but your body and brain can generate the actual feeling of needles going into the skin and little bombs going off or nerves and muscles being pinched and the sounds too, it hurt, nobody told me it could be that bad ever
Thank you for your comment.
@@Rexiled im glad my experience could help you, I hope your out the other side and its in the past as its truely horrible
@I got yo roaches in my backseat with eren jaeger😚 when I went on medication it took a while for it to even out but I get blips every now and again where I start to slip into it, its an odd feeling and then the thoughts start going a bit off and it works its way up but so far I have managed to get it relatively under control but stress can trigger it which is unfortunate but its no where near as bad as it was thankfully, got to take it as it comes. how are you doing with it all because its defo not a nice thing to have
I felt some of that trying to read this. Start with orderliness.
@@spontaneousbootay if it was a little rushed, theres a reason for that. I didnt want to spend any longer than I had mentioning how it can feel very real from my experiences
You are literally better than my own psychology professor. Bless this channel
a good subject for a video would be determining OCD from delusional disorder, contamination vs infestation etc. I see many patients with either psychosis or severe OCD that ride the line between obsession/delusion.
I have ocd and delusions most of the time my delusions are affected by my ocd
Not a doctor, but went to therapy for OCD. OCD sufferers tend to be aware that their fears are unrealistic, but can't help the extreme anxiety that accompany them (hence compulsions). It's the awareness that these thoughts are not realistic, or that are likely false, is what determines whether they're delusional or not. An OCD sufferer can become delusional if there's poor insight and they firmly believe that their fears/thoughts are true beyond a doubt, but from what I know it's less likely, since in OCD it's commonly observed that sufferers are in fact aware of how "ridiculous" their fears are, or that their fears are just a possibility rather an the absolute truth. People suffering from delusions tend to firmly stick to their delusions and think everyone else is wrong, whereas typical OCD sufferers are desperate to seek proof that their fears are not true.
@@akach8664 Correct. I have severe OCD (contamination and harm) and the most maddening thing about it is that I know I am crazy but cannot control my bodies triggered actions or functions or tell the thoughts NO once they get going. Yes I can logically see why a 4 hour shower is unnecessary and yet knowing that does not enable me to leave that shower.
@@natp3408 same
I’m so appreciative of your information!!! Thank you so much
You’re welcome Tracy 😊
I love you guys much.
I feel a bit grandiose...
@@powerpunch12 The way to get my time and attention is to book a consultation. I'm not able to answer these kinds of questions in the comments because of the time it takes to get more information and really understand what's going on. You can get more information about booking a consultation here markspsychiatry.fullslate.com If you need ongoing help, you should see a mental health professional in your area for a diagnosis and possible treatment.
@@DrTraceyMarks Hi Dr.Tracy Marks
..any permanent treatment of sczophernia.?
@@powerpunch12 same thing has happened with me and still happen...but try to findout solution according to your religion as well....
I can relate to the somatic delusions. I started having heart palpitations when I was 19 and since then I cant focus on anything other than that. I'm just waiting to drop dead. I'm 35 now, and that alone has completely eexhausted me.
Pls speak life in Jesus Christ name amen and amen
If I'm correct, that alone is a form of hypochondria, now called Illness Anxiety Disorder. Don't worry, I feel you. I've had palpitations since I was 15. It's been 2 years and nothing has changed.
GOD IS WITH YOU. ACCEPT LORD JESUS CHRIST AS YOUR SAVIOR. READ THE BIBLE.
Go for the meds, see if they help you
I wonder if hypnotherapy could give you some relief.
Your video was most helpful, Dr. Marks, in clarifying points about delusional disorder.
We have found that many psychiatrists do not have good training in identifying and treating DD, especially those who did their training over 20 years ago. But it is so important to read a lot on it and help get the diagnosis right.
What a great explanation of paranoid delusion. That’s exactly how my mum is. Doctors and others initially thought it was early onset dementia but I put two and two together and realised she was always paranoid, but covid iso precipitated her symptoms and magnified them m’as she didn’t life to forget the issues into. She is now wrapped in her stories… very sad to witness. At least understanding is very useful for children and supporting family members.
Dr.Marks is such a blessing...So good at discussing complex mental health issues in a very easily understood teaching video.
It can seem like an embarrassing situation revealing a delusion to your doctor. I told him about what ended up being called paranoid thoughts. I thought neighbours were planting listening devices and listening in to me. Being suspicious of other people. He made it very comfortable to disclose. I’m on a new medication. (I have Bipolar 1 disorder) I didn’t realize these were bad symptoms or symptoms of anything until they slowly got worse and worse. Please don’t be embarrassed to tell your doctor anything, and be open. This was something I have been dealing with for a while it seems, I just never saw it as a problem. I pride myself on my insight however this one I missed and dismissed. It was hard to accept what it was but what can you do. Keep smiling everyone! 🙂
I’m glad you explain clearly in these videos. Everybody has intrusive thoughts..mood swings..sometimes miss hears a voice thinking it was a ‘ghost’..feeling family are against you.. I guess eveyone would want at least 1 celeb they fancy to like them back of course 🤣😳it’s nothing to worry about it’s all normal but people like myself with anxiey can sometimes over think maybe this is me and when watching these videos (I’ve binge a lot of your videos for education) you can see that your not going insane,crazy or ‘not normal’ and anybody who has these symptoms can feel safe in your videos and seek help.
I can’t imagine what it feels like to have BPD, Psychosis, ect I hope eveyone who watches these videos seeks help if you need to and always remember you’re human who is still worthy of love !
Amazing content Dr!
I'm so glad you shared this video with us. I've been having some trouble in this department, so I'll see a dermatologist this morning and, if my tests come back clear, I will be in immediate contact with my psych doc.
Dr. can you talk about substance induced symptoms, like cannabis and methylphenidate induced mania or meth induced psychosis. I love your videos, thank you for sharing your knowledge! It's really entertaining to watch
I literally just started watching these videos because I keep hearing a woman's voice .... Can't really make out what she's saying....
Pot user everyday all day for 8+ years .........
Exactly
Yes! I would love that. I had what I think to be drug induced psychosis in 2013 and would love to know more about it
@@Jesse-bb4qj it's cannabis induced psychosis, that's why I stopped drugs and alcohol before I get schizophrenia.
@@Jesse-bb4qj Please pray and read the bible it has helped me.
Hello Dr tracey,
Can you talk about maladaptive daydreaming? Because it is highly misunderstood and not talked about enough
I totally agree; I'm 43 and only heard of it recently while I've been doing this since my early teen years. For me, it is a positive experience, helping me get through my many disorders and demons. I keep reading it is something bad.
Aya Mohamed I’m curious too.
Hi Aya. It’s a construct that I don’t know much about. I would have to research it to see if it refers to something else I’m more familiar with. Try Dr. Todd grande’s channel. He may have some videos on it.
@@vickythecat1741
I have been diagnosed recently and for me it's been a horrible experience. I also dissociate and been diagnosed with BPD
@@johnkovary5121
It is not a topic that is talked about and teens are self diagnosing like it is a trend
Dr. Marks. Thankyou once again for generously, selflessly bringing this video to us. I want you to know that I appreciate your posts and I look forward to seeing the new ones. Have a great day.
Hi Jeff, I agree its alot more detailed comment by her description.
She tries hard I'm sure not to impose drug therapy on patients between reeling of these little productions.
She does stand out in her league and profession. 🙏
I think this one is her best...to date.
Jeff Varley I concur
Thanks so much Jeff, Robert and John I really appreciate it. It gives me a lot of satisfaction knowing people like you are watching and learning.
Thank you so much for this video. I find it helpful to have the list of all the types of delusions someone may have to not just fixate on one or tell people they're crazy when I'm not a licensed professional and don't know how many things it could be for them. But I do know it really doesn't make things better to give a possible label to an insecure person. Situations get tense and I want to shout the label because my anxiety is up and I'm hoping that knowing what the behavior is caused by leads to empathy and de-escalation of conflict. It's not an insult, but an already weak person will feel insulted and keep attacking. It's harder to ask them questions to help them look at how measurable is the reality of their delusion, especially when a jealous or erotomanic type of delusion is being shown and someone already wants to hurt me because they saw disheveled clothes or their favorite person said hello to me. Worst of all when there is also ASPD, BPD, or schizophrenia. Being told there is a point past which the police will arrive is convincing for most but not everyone.
a clinical psychologist wrote on a paper I had all of these delusions, but also wrote that I was mentally 'fit for trial' , no one cares that I am getting harmed and then the abusers say its a delusion
It happens
This is the one thing I have been looking forward to all day
Thank you for this video. My brother is having a mental health crisis where he claimed people were trying to harm him in ways that didnt make sense to me. Hes getting mental health treatment in a shelter now. Im not sure what hes been diagnosed with, but i hope that he feels safe and will be able to live the kind if life he wants soon.
Thank you Dr. Tracey. I personaly have paranoid schizophrenia, and have often wondered why sincere religious views were not clasified as such. I think i got a better understanding of it from your video, so thank you.
I have religious beliefs too
I have a close relative and I believe has these delusions. It started with her believing she had parasites eating her brain. She lives alone in NY and we live in the south. She has been to several doctors that have explained to her she has no parasites but she won't listen. I want her to move back home but she won't. She always thinks some one is plotting on her behind her back conversations go on and on about all the people that are jealous of her and trying to get her. I don't know what to do to help her. I can't drive to NY and hit her over the head and drag her home....NY is full of people that have no one and end up on the streets... I dont want that for her....I dont know what to do....help.....😒
I’m so sorry to hear this! I pray things work out! Bless your heart for wanting to care for her!
Ok I know this sounds crazy but why don't you find some one to pretend to be a doctor or see if i doctor will lie to her say she dose have parasites give her some sugar pills to make them go away i know it probley wont work but at this point a placebo might work best
Hi Tracey! Your videos changed my life!
I was wondering if you could do a more detailed video on Somatic anxiety disorders especially what causes it.
I have experienced many years of child emotional stress and I believe that at one stage my body couldn't handle the stress and I developed or triggered this disorder. In the past two years I was back and forth to the doctors for standard blood tests, and I even saw a specialist to check if my symptoms was related to cancer. Of course the doctors didn't find anything wrong with me which is why I'm convinced I have somatic anxiety.
I experience the following symptoms almost every single day even when I'm not anxious:
- dizziness (like how you described it in one of your videos where you aren't necessarily spinning but you feel like you are about to faint)
- fatigue
- blurry vision
- derealisation or brain fog
- poor concentration
- occasionally breathlessness
- occasionally sore chest and abdomen
- Occasionally a choking feeling
- Occasionally heat coming from my head
- sweating hands
- unexplained shakiness.
When I am anxious I don't worry about normal things. I more overthink about my past and the actions and words of others even if they aren't bad.
Thank you again for your videos!
great explanation, I have a sister border line cluster B, my family tried to get an idea what was wrong with her since childhood, and then more recently ( she is now 73) all this disorganized view of the world is much more studied. We cannot handle this, but at the same time we tried both deal and keep her at distance.... She keeps thinking she is a very smart person, and can do whatever she pleases. So tiring .... we never knew why she decided Never follow the minimum rules. No medical approach in the '50s and anyway she didn't cooperate with doctors.
My mother is 63 now. She's been holding to this belief that her neighbors are watching her every move and impeding her from leaving her life at its fullest. It does seem to come and go in intensity, and only the closest family members know about it. My mom has been exposed to abandonment and trauma many times in her life. I just wish I could help her, but she doesn't want to seek help nor accept it. She became a lot like that after getting a psychology degree at the age of 57 and having a heart attack at the same year. The woman is hilarious, yet messy. I love her anyways. 😂
I love the last part❤😂
@@Nancy-ow9wy right? 🤣❤️
@@thalesalexandre-inglesbase8060❤😂
❤ so sweet
Dr Tracy mark you make absolutely clear distinction in all your video about mental health education ,as I said couple of days that I was suffering from Bipolar mental illness , thank you Dr.
this has been really hard for me to live with. I'm glad there's videos like this so I dont feel so alone
i have schizophrenia, and having delusions is one of ongoing symptoms since i have a lot of delusions and they happen almost all the time - and most of the time im not even aware that what im having is a delusion
it was interesting learning about delusional disorder, and how it's different than my disorder. and some of it made me think about stuff. this was very informative and somewhat hitting, thank you for the video!
Do you ever have delusions about people? Like you see someone and think they’re secretly a robot or things like that? Cause I’ve found a group of people that think stuff like that and I’m just trying to figure out if they have some sort of mental illness
Hello Dr. Marks ! Your Awesome ! I Appreciate and Enjoy all of your videos. Best wishes ! Keep Up the Good Work ! 👍
Thanks for this video im going to accept accountability and be honest about my delusional thinking. Its time for me to be real with myself
Omg this video was such a big help i now know that im Somatic cause the first example you mentioned is what ive been burdened with since February 2018
Thank You @Dr. Tracey!!! Thanks for educating me about the disorder....
Thanks for doing all this! Treatment Resistant terrible. Your insight has been helping for years now. Take Care.
This is very clear and helpful and explains a lot about someone I used to interact with. Thank you.
I think i might be suffering from delusions😭 I always experience the following delusions: Being watched through cameras, people plotting against me, things i say will be used against me and the things i do on my phone being monitored and sent to my mom one day💀
Me too!! but after reading your comment I feel less alone and like I might be able to overcome them.
You've helped me out quite a bit, thank you
Thank you so much Dr. Tracey 💕💕
Ex husband had a few of these in different categories. He could not even consider that his accusations weren't reality. But he was on a really bad drug binge; he seemed to know his beliefs were socially unacceptable and would hide them, before the drug use got bad.
Hi Dr Tracey I have an idea for a video, in fact I was surprised you hadn't covered this before because we hear a lot about it these days it's NARCISSISM, MALIGNANT NARCISSISM and NARCISSISTIC PERSONALITY DISORDER... What actually is narcissistic personality disorder? What does it look like? How should we deal with these people? Are certain famous showbusiness personalities truly the nasty narcissists they're so often portrayed as being?
Great video as always, keep up the good work 😎😉🍎😎
Narcisism is when you enjoy yourself, and that is somehow bad
My late husband was delusional after his TBI. The subject of the delusion changed from hour to hour, but they never really went away. He once told me that the nurse at his assisted living facility came into his room the night before and replaced his eyeballs with a new set, and this new set just wasn’t as good as the originals. It was horrifying and heartbreaking.
your videos are very informative , thank you for them!
This helped so much with the understanding and speaking about these issues.
Thanks for the video, more info is needed, especially to the people who do bad things to other people, then when the going gets tough they hide under these sickness. Let be sympathetic to mental sickness people. To those who are not sick stop diagnosing your self with mental issues when you get cought, then hide under depression.
Thank you for your help. It's not easy to find information on this the way that you explain it.
Very informative as always. Keep up the great work Doc.
Nice, generous comment.
Thanks a lot Barbara 😊
Mom had jealous type. She thought dad had a device in his ear that allowed him to talk to his girlfriend(s).
I have persecutory. I feel like people are out to get me. It feels so real!
What is the difference in being paranoid then? Now I’m confused...
Yash Sharma honestly it took YEARS AND YEARS before I found out. I have a psych, and he gives me meds to control the disorders I have. I rarely take them. I only take my sleeping meds. I will pray for you and your brother!
Extremely of informational and very well communicated call communicated, thank you very much. I feel like You helped me gain some very helpful insight into How I could/should should go about Interacting with a particular loved one in my family Who Exhibits the exact same symptoms as a few that you mentioned in this video here.. I've been trying to figure out how to help them for years But it's hard To know what to do because they refuse Get any kind of psychiatric help or counseling, Which makes it very hard to Identify what the cause or condition could be. Thank you
Love your presentation. glad i came across your content
Wow I really needed to hear this , thank you, I wished I could talk to you about something's I'm struggling with 🙏
Very informative, but I would like to hear of recommended treatments other than medication.
Very interesting. This is the first time I haven't nodded through the entire video and said "yup that's me" so that was refreshing.
I have recently been reading about Targeted Individuals which is absolutely fascinating. Would this be a subject you could talk about. Thanks.
I had to look that up because I didn’t realize that was a thing or a term someone coined. That does sound fascinating I would have to look it up and see if I have a good take on it. Thanks for the suggestion
What do you mean targeted individuals?
This was a lot of good information (in only eight minutes)! Thanks
Dr Tracy you're the best♥️. I love your content it uplifts me all the time. And also it has inspired me to start my RUclips channel "skimpire cast" and spread the word in Africa. I'll be also dropping a video in an hour. Thank you Tracey ❤️🙏
Thanks Skimpire cast. I’m glad I inspired you. have fun with your channel and good luck.
Very educational videos.. I have been diagnosed with schizoaffective with bipolar and understand that persecutory delusions can be a scary experience
I'm so glad you uploaded this video Dr. Tracy. I have a patient who I believe suffers from Delusional Disorder. I believe she is a somatic and a persecutory type (mixed). She is always worried that she is sick and always make appointments to check her chest, her heart etc and she is also obsessed with thoughts that people might hurt her or that they re making a conspiracy about her. Two years ago she was prescribed with Villamos. I would love to know your opinion regarding treatment.
Thank you so much!
I had to look up the Villamos because it’s not used here in the US but the closest thing to it is Olanzapine which is an antipsychotic medication. In my experience it’s been fairly hard to treat, meaning it doesn’t seem to respond as well to antipsychotic medication. I think sometimes people can improve but it seems like it’s pretty difficult to make the delusions go away completely. That said, I have not treated a lot of people with delusional disorder because they often don’t come in for treatment because their delusions typically don’t cause a lot of problems for them. But when people have a lot of somatic delusions they can become pretty preoccupied and impaired. I hope the olanzapine at least helped her focus less on her delusions
@@DrTraceyMarks So you believe that it would be better if she took medications again? I'm trying to use CBT techniques to help her, she is feeling better but she wants these obsessive thoughts to go away once and for all. Would medications help her relax?
I worked for nearly half-a-century treating those with severe Mental Health and Social Functioning issues including chronic serious Criminality, and Addiction. I specialized in working with Personality Disorders and other severe cases such as treatment resistant Depression, Anxiety, Bipolar, etc. I was retired "early" due to medical condition, so for the past couple of years, I have a lot of time of my hands. I started watching "Court TV." Not the Reality shows, but real Court Cases. While the general theme routinely revolves around drugs and alcohol, * * Personality Disorders (PD's) are on full display.* * These cases are also good demonstrations of why, when it comes to PD's, Dimensional Assessment is the Gold Standard.
Yep everyone wants to feel safe
I can relate also to the paranoia or being suspicions that people are talking badly about me
I did have for a short time , very hard time, persecutory delusions, yet at the same time i was very aware that the emotional stress was the reason for those thoughts. It was so strange, feeling acutely that people was "talking about me on my back" , and at the same time telling myself "that is not true Clara". This lasted about 2 years. I cured myself ....
How bad was it?
@@allypat3002 I had to tell firmly to myself that it was just a suggestion coming from my mind. It was not "nice" , i needed to be disciplined. But not too hard. The reason I was in that state, was much worse. Sometimes I would feel like "drunk" or "unbalanced" . But I do think it was much more how i perceived it, not really external, because I used a bit of heels .... so it was not "physical" , it was all perception, That was also the time I had dreams and then things happened , total nuts . The great fire downtown Lisbon , for instance ... 1988
@@clarapvalente How did you heal yourself? Lots of sleep?
@@allypat3002 I was not schizophrenic. Just a very stressful situation. I was Not really "Allucinating" , i had a bad experience in my life. It healed with distractions, activities and a good friend
@@clarapvalente What did you experience when you say 'persecutory' hallucinations? Did it feel like everyone everywhere was making statements about you?
Amazing information and very helpfull! thank you very much!
Thanks for this informative video!
You're almost to 300! 😃
Yes Kathrin! I’m plugging along 👍🏽😊
Many grats.
Chronic mixed delusional personality disorder effect, 6 by 6. Mass hysteria 🙏
@David Lutz I've experienced some delusive behavior in my youth. It's strange to experience it from others before they are in the onset of old age.
I like that opinion heaps David, haven't heard it in atleast 20 years. I'm assuming you're British and all madness in general is creditable to delusion 🙏
Everyone in colours heading in stride (from the pub) to the big match 😂🤔
Dr. Tracey Marks is amazing when explaining this shit. I appreciate you b. Stay up.
Great video very helpful this is random but love the pinstripe blazer :D
I love seeing your videos every Wednesday morning, so please don’t take this the wrong way. The word “odor” in the graphic is spelled wrong.
Whoops! Thanks Kenny I need a proofreader for my videos. 😃 Unfortunately you can’t edit them after you upload them
You just solved my 8-year-old 'journey' in psychiatry. I might be dead now if I hadn't looked up my illness on the internet. Years of antipsychotic medication yielded no results. Before finding that video, I studied enough to understand. I've been on antidepressants for half a year now, and I feel better than I have in the past 10 years. Psychiatry is terrible in my country (ua).
I have a neighbor who just suddenly decided she hated me. I used to drive her everywhere and help her out whenever possible. Then one day she just stops talking to me and won't even look at me. I thought of asking her, but her behavoir was hostile, and she refused to say why to a few of my neighbors. I have no idea why she was angry, but I also think that that was a good thing because she always talked badly about nearly everything.
I feel sad for her, but I also feel like she's miserable because she just likes being miserable. She constantly tries to turn any pleasant conversation into a complaint about something. I do feel sorry for her, but I'm also a little relieved that I don't have to talk to her anymore. I wish there was a way to help these people not feel that everyone is out to get them. It's heartbreaking to see the effect it has on their lives.
Thank you so much for the videos!
I know you can’t get through all questions but I’ll still give my situation a go.
I started to have a lot of irrational fears since the time of watching a scary video a few of my classmates in 5th grade coaxed me to watch. Since then I was afraid of a certain being that would hunt me and try to kill or posses me or my family. Because of that I wasn’t able to sleep on my own and I needed to stay near my parents for comfort because when I was alone I believed the being was near me. I couldn’t go to certain places of my house like the kitchen because I was convinced he was there. I would get panic attacks and call my family members to come over because I was just that afraid of smth I don’t even see.After about a year of not sleeping on my own I was finally forced by my parents to sleep in my own room which led to me finding distractions to preoccupy myself until 5 am which I believed to be the time that the being wouldn’t touch me because it was too bright and early. This ruined sleep continued until now , I’m currently 15. I still am somewhat afraid of the being but now I’m convinced that someone is following and stalking me. I hear weird sounds and always check to see what’s wrong and get very anxious and leave the area and sit in my room. I am afraid the person I think is following me is looking at me through the window and recording me. I see running shadows from the corner of my eye thinking it’s the stalker and I also see hallucinations of bugs which I sometimes swat and realize they disappear before I swat them. I have intrusive thoughts of ppl I see on the street , of them doing smth to me, for example if they open their car door I’m convinced they do it so that they can strangle me and kidnap me. So it’s weird I don’t know if this delusion is just part of me being a teenager or something. I would like to know what is going on. Thank you
Read the jkv bible. It will help you understand fear and how to control it eith your belief systems. God bless you
I am going through something similar, pray
Ask Jesus to save you. Trust in the Power of His name. And know that there is no spiritual force that can stand against Him. You will find peace and rest in Him. I am praying for you right now.
I would love to speak to you on this subject. Can trauma cause temporary delusions? I was delusional for over a year and forgot who my family and fiance were then randomly one day I "got my mind back" but by then, my life had already been ruined. I would appreciate some more insight or answers. I've been given more diagnoses than I can count and none of them make much sense to me. Thank you for the video!
Thank you so much for your video upload
Thank you so much for your valuable information...
You’re welcome!
Thank you very much! I understand much better now.
Hello Dr. Marks :) I've missed the premieres of your last (two, I wanna say) videos. When you post these videos I often hear you say something to the effect of "This video is based on a user question." I have one :) We don't hear much as clients, at least in my experience, about serotonin syndrome and those at risk for developing it. Can you talk about what it is perhaps, and what comorbidities and concomitant therapies increase concern about developing it... is it an emergency? and/or associated with NMS or, differently, metabolic syndrome -- anything at all that covers it would be really cool to learn about. Thx.
Very interesting video! Can delusions be about anything or do they have to fall into these categories? You mentioned mixed type, but are those just features from more than one of the other types? Sometimes when I'm depressed I can get convinced that everybody hates me and that I'm the source of everything bad in the world, but that's not a delusion is it? At least not like these ones. Or take body dysmorphia, where you have false perceptions of your body that very negatively impact your life. That's kind of in the same vein, but not classified as a delusion (I don't think?). Where does the line go?
I think a video solely on Cognitive-Behavioural Therapy and Rational Emotive Behavioural Therapy (might be the same thing?) would be helpful for me. I have severe health anxiety; I obsess over my physical state and health nearly all the time. You made a great video about this disorder, but I hardly understand how CBT will work for me, considering how my disorder manifests itself.
For example, I fear having a heart attack and facing an untimely death. Thanatophobia is a big factor for me as well. In response to my fears, I am heavily restrictive on my diet, avoiding all fats and cholesterol for fear of giving myself heart disease. I avoid excessive movement, because the increased heart rate freaks me out too much for me to handle.
How would a professional even begin to tackle these problems with CBT or REBT? It seems so impossible at times for me.
You should seriously consume cholesterol and fat and avoid sugar. Our brains and bodies depend on lipids to construct and repair the body.
hi would you please look into maladaptive daydreaming? i just started watching your videos and im hooked!
Hello Dr.Marks
Can you post a video about Bipolar Psychosis specifically? Including both clinical symptoms (positive & negative), cognitive & functional impairments. I was told by my psychiatrist that delusions and hallucinations of BD are more based in reality and that they are different in some ways than Schizoaffective or Schizophrenia psychosis. I also liked the maladaptive daydreaming idea.
Did you dye your hair? It looks red, I LOVE IT!!!!
4:05 thanks for the explanation in Persecutory Delusions.
Thank you dr. Marks very interesting. I just got through reading an article about racism being thought to be a mental illness that covers a lot of what you just covered in this video and more. I would love to hear your thoughts but I understand it's a very big topic right now and very hard to explain for anybody to actually want to understand.
I think to call racism a mental illness trivializes mental illness. Hate and bias are emotions and preferences, not illnesses.
@Dr. Tracey Marks It also seems to me, as just an observer and not a clinician or doctor, IMHO, that hate and bias are learned and can therefore be unlearned, which is hopeful. Mental illness, on the other hand, has an organic component to it. Certainly traumas, learned behaviors/modeling can contribute to its acuity, but the organic components can only be solved through either ECT, neroplasticity reprogramming techniques affecting the symptoms
(e. g. Thought stopping, deep relaxation, etc.) and medications, especially in severe disorders like psychosis, dissociation, and depression. Thoughts?
@@notpub although I kind of agree. I believe most mental illnesses are caused. Especially in the case of dissociation. I understand a lot of the biological factors that can contribute. But! I believe most of the main factors are external from the environment that can be retrained or even mostly healed without damaging the brain further.
This is very informative and much appreciated. Would be interested on a video on intrusive thoughts and whether that is an obsessive disorder. Thank you for your channel! I mentioned it to my own specialist!
Dr Marks,
I’m off of the vraylar. As you said in another video that blocks age1 receptor and some other receptor for telling you when you stop eating mine were clearly malfunctioning because I gained 30 pounds on vraylar. I’m not taking Lamictal chewables 25 MG and I cut them in half once again crazy side effects. But does not have the appetite problem the video did about the antipsychotics with the receptors was the best video I watched you ever did . Thank you for pointing that out did not know about that I’ll try to find the video and comment on it.
General repair
Dr. Marks- Thank you for your content! Have you ever or would you please talk about people who consider themselves to be targeted individuals? I have a friend who is tragically burdened by this belief.
Thanks for this on the Somatic. I was wondering if there is a link between Somatic Narcissism and OCD? I notice a lot of these types seem to have extreme OCD. But another article described Narcissism as 'Whole System OCD'? Helpful video. Thanks ; ) K
Dear doc, in the past you have brought up about how THC can be a culprit for psychosis. As someone with unipolar depression and PTSD, I personally feel THC helps me cope with symptoms of both my depression, helps prevent flashbacks and can stop them when they happen. So what I guess I'm asking is what is your opinion on THC/Marijuana, can it work somewhat as an anti-anxiety and/or an antidepressant, and in what ways does it lead to any possible psychosis? I also take an antidepressant everyday and a benzodiazapene for moments where I can't just be lighting up smoke around people. Thank you for your videos they are very informative!
I have a friend who is a girl and, (I think), has this.
She is always grieving some "relationship" that hardly ever happened or was very brief, and cannot let go.
Im really sad for her , tonight i told her that i cannot take it anymore, because, (and this i didn't tell her), it is just too sad to see someone like this, and to see that no one is doing anything about it.
She told me she will be fine, but i know she is hardly ever really gonna get better.
Before that i had never met anyone that had this. It is shocking to see. Plus society doesnt seem to detect this type of thing.
This is currently what I am going through with my friend right now and I really need her to get help because it’s becoming hard to support her as a friend especially when I have so much things going on in my own life . I am sad for her but I can’t do it anymore
@@emmanuella8269 In my case, my friend was "saner" than I originally thought.
She IS now with the guy i thought was only leading her on. I still think he doesn't care much about her but yeah.
So yeah I wasnt totally right.
@@wonka4 thank
You for acknowledging this and taking the accountability
@@emmanuella8269 Youre welcome. Feel free to tell me how yours evolves
Please do a video explaining Maladaptive Daydreaming, thank youuu 💙
I’ll have to do some research first. I’m not that familiar with it but it may be a term that refers to something else I’m more familiar with
@@DrTraceyMarks thank you so much 💙
Please make a video on "quiet" borderline.
I love your videos. ( There's a typo in this one: Odor is misspelled as "oder")
I’ve experienced this pain for a while now but I’m on a cocktail of drugs to quieten things down...I’ve been diagnosed lately with eupd and COVID-19 has interrupted my day to day routines...life is hard enough without Covid urgh! Too much time on my hands and sleep disturbance doesn’t help with my comorbid diagnoses...😕 dr marks’ vlogs on here are very helpful especially at this time of confusion and uncertainty as I’m unemployed but watching these uploads weekly actually gives me a sense of hope that Recovery really is possible and building a life worth living is within arms’ reach...do I make any sense at all today or am I a bit delusional? All replies are welcome 🙏🏻 cheers!
@Lame Duck Emotionally Unstable Personality Disorder i.e BPD Borderline-personality-disorder... No two days are the same for me so it is best for me to reestablish a routine... Daily structure is crucial in my view... Thanks for the question!
I've really been appreciating your videos they give me quite a bit of insight into Mental Health. Does everyone in the world have some sort of chemical imbalance that makes them have some sort of disorder or are there people who actually live without chemical imbalances?
Hi lovingmooba thanks for watching my videos I’m glad they are insightful. The idea of a chemical imbalance implies that it is a pathological state. Not everyone has Neurchemical deficits causing mental illness. Thanks for the question
Thankyou very much, very informative.
Thank you so much for your videos. They are so informative. This video sounds much like my late husband.
Very informative and clearly explained
i thought i might had delusional thoughts, but i cant really relate to any of the categories. im depressed and when i have bad days where i will break down and cry for hours, thats when i experience delusional thoughts or whatever it is. i am then convinced that everyone hates me and that my life is horrible and i will never be able to get better. i will also be convinced my boyfriend wants to break up with me and i will now be alone forever. many other things too but i have a hard time remembering what i think when im in that state. it maybe happens a few times a month where i have delusional thoughts for maybe some hours or a day or an evening. but last week i had been really really down and without even noticing before i got out of it, i had been stuck with my delusional thoughts for more than a couple of days and unfortunately i took some poor actions because i did not realise i wasnt thinking straight. other than that i am constantly, and not just sometimes, thinking my mom can read my thoughts. whenever im in a room with her and she isnt speaking to me im convinced its because she is reading my mind so i will repeatedly think in my head 'stop reading my thoughts, stop reading my thoughts, stop reading my thoughts'. i dont know what any of this means and i am gonna talk to a therapist but the waiting time is one month so i thought i would share here for some reason....
My first manic episode was very very hidden. I was convinced i had Alzheimers, which my doctor thought was just anxiety. What made it a delusion was the fact that I believed it and didn’t know why.