What is Delusional Disorder? | Comprehensive Review | Schizophrenia Controversy

This video answers the questions: Can I provide a comprehensive analysis of Delusional Disorder?
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A delusion is a false belief based on incorrect inference about external reality that is firmly sustained despite what almost everybody else believes and despite what constitutes incontrovertible and obvious proof or evidence to the contrary. The belief is not one ordinarily accepted by other members of the person’s culture or subculture.
DSM definition:
1. the presence of one or more delusions with a duration of one month or longer
2. the first criterion for schizophrenia has never been met
3. other than the effect of the delusion itself, functioning is not markedly impaired and the persons behavior is not odd or bizarre
4. if the individual has experienced major depressive episodes are manic episodes, those episodes have been brief in comparison to the symptoms of delusional disorder
5. not better explained by another condition
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.
Marneros, A., Pillmann, F., & Wustmann, T. (2010). Delusional Disorders--Are They Simply Paranoid Schizophrenia? Schizophrenia Bulletin, 38(3), 561-568. doi:10.1093/schbul/sbq125
Jakes S, Rhodes J, & Issa S. (2004). Are the themes of delusional beliefs related to the themes of life-problems and goals? Journal of Mental Health, 13(6), 611-619. Retrieved from search.ebscohost.com.mylibrary...
Rhodes, J., Jakes, S., & Robinson, J. (2005). A qualitative analysis of delusional content. Journal of Mental Health, 14(4), 383-398. doi-org.mylibrary.wilmu.edu/1...
Siddle, R., Haddock, G., Tarrier, N., & Faragher, E. B. (2002). Religious delusions in patients admitted to hospital with schizophrenia. Social Psychiatry and Psychiatric Epidemiology: The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services, 37(3), 130-138. doi-org.mylibrary.wilmu.edu/1...
Saavedra, J. (2014). Function and meaning in religious delusions: a theoretical discussion from a case study. Mental Health, Religion & Culture, 17(1), 39-51. doi-org.mylibrary.wilmu.edu/1...
Iyassu, R., Jolley, S., Bebbington, P., Dunn, G., Emsley, R., Freeman, D., … Garety, P. (2014). Psychological characteristics of religious delusions. Social Psychiatry and Psychiatric Epidemiology: The International Journal for Research in Social and Genetic Epidemiology and Mental Health Services, 49(7), 1051-1061. doi-org.mylibrary.wilmu.edu/1...
Torgalsbøen, A.-K. (1999). Comorbidity in schizophrenia: A prognostic study of personality disorders in recovered and non-recovered schizophrenia patients. Scandinavian Journal of Psychology, 40(2), 147-152. doi-org.mylibrary.wilmu.edu/1...
Volavka, J. (2014). Comorbid personality disorders and violent behavior in psychotic patients. Psychiatric Quarterly, 85(1), 65-78. doi-org.mylibrary.wilmu.edu/1...
Bo, S., Forth, A., Kongerslev, M., Haahr, U. H., Pedersen, L., & Simonsen, E. (2013). Subtypes of aggression in patients with schizophrenia: The role of personality disorders. Criminal Behaviour and Mental Health, 23(2), 124-137. doi-org.mylibrary.wilmu.edu/1...
Chun, C. A., Barrantes-Vidal, N., Sheinbaum, T., & Kwapil, T. R. (2017). Expression of schizophrenia-spectrum personality traits in daily life. Personality Disorders: Theory, Research, and Treatment, 8(1), 64-74. doi-org.mylibrary.wilmu.edu/1...
Nieto-Rucian, V., & Furness, P. J. (2019). The experience of growing up with a parent with schizophrenia-A qualitative study. Qualitative Psychology, 6(3), 254-267. doi-org.mylibrary.wilmu.edu/1...
Cook, C. Religious psychopathology: The prevalence of religious content of delusions and hallucinations in mental disorder. International Journal of Social Psychiatry2015, Vol. 61(4) 404 -425
DOI: 10.1177/0020764015573089
www.ncbi.nlm.nih.gov/pmc/arti...

[@nadiaoloui3909]

Thank you. I am relieved to hear that my well functioning sister with only bizarre and erotomanic delusions can have delusional disorder instead of schizophrenia. She is too paranoid to seek treatment but she takes excellent care of herself, doesn't hear or see anything unreal, and also doesn't have disorganized speech. We have schizophrenics in our family and my mom had brief episode of delusional disorder but she is self aware. I hope she doesn't develop schizophrenia, as we are too tired of dealing with our psychopathic dad to be once again dealing wih a severely dysfunctional individual.

[@Sarah.Riedel]

Wow, I'm so thrilled to see you address this specific condition - from what I can tell it's a relatively rare diagnosis and you hardly ever hear in-depth analysis like this as a condition that is distinct from schizophrenia. My partner of around a decade was diagnosed with delusional disorder (persecutory subtype) and his disorder essentially ruled both my life and his for many years. Essentially he was floridly and profoundly delusional but otherwise functional in every way. His delusions were centered on his paranoid belief in a powerful cult organization he called "the Family." He had no hallucinations and no sensory disturbances. I would often find it hard to reconcile his apparent normalcy and his easy ability to socialize and interact in the world with the utter insanity that characterized our private lives together. I agree that the lived experience of a person with delusional disorder is markedly different from that of a person with schizophrenia and they absolutely are two very distinct conditions. Ultimately his diagnosis was made during a psychiatric evaluation conducted while he was incarcerated after an assault on a family friend whom he believed to be one of these "cult" members. Because his delusions were so obvious and so clearly central to his actions he was given a very lenient diversion program for first-time offenders that mandates mental health treatment instead of prison time. He spent 10 months all told in county jail. So, while treatment outcomes in delusional disorder may be better overall than with schizophrenia there can still be some very serious real-world ramifications...I certainly know my own life was complete chaos the entire time I was with him because you just never knew what he was going to do or say next and the cult-talk was 24/7 and just unrelenting.

[@cloudwalker8266]

Thank you, this was very interesting. Years ago, a family member married a woman who believes she's an alien abductee. She has shown us her "implants," which look like ordinary skin growths or warts, and explained (at length) the function of each one. This woman also believes in various conspiracy theories. What I always found interesting is that she seems to be careful about choosing her audience when sharing these delusions. It seems people with this disorder might have some kind of filter that tells them when something is socially unacceptable whereas a schizophrenic would share their delusions indiscriminately. I'm not a professional, but it seems to me this woman meets a lot of the criteria for BPD too. Is that a common comorbidity?

[@mrs.reluctant4095]

The difference that you point out between people suffering from Schizophrenia and those with delusional disorder isn't correct. People experiencing delusions due to schizophrenia, bipolar or schizoaffective disorder learn to hide their beliefs often very effectively. There are interesting autobiographies of people with these disorders, written at the beginning and middle of the 20th century in which they describe how they had to learn how to hide effectively these thoughts and feelings - just to get out of the psychiatric facility. This capability was often life saving for them.

[@sideswipe1261]

That’s because psychiatrists and such hospitals and treatments they recommended are resultant from the doctors’ own delusions of grandeur and can be some of the most cold, uncaring “professionals” in all of “Plaque Wall Land- where everybody has a framed photocopy of their worthless degree framed in every office they see patients in. They do not care about your health. They care only about research in hopes of gaining prestige and a bigger paycheck and are unafraid to torture patients, lie to them (direct lies and lies of omission), lie to family and friends, feed you poison pills, intentionally deprive you of sleep (after Christmas I was very dehydrated from over drinking cheap $12 half-gallon vodka shots with old college buddies. Bad gut rot, 2.5 days of vomiting, then 2.5 of diahrea on a fairly frequent basis, so got absolute zero sleep or food for over 5 days. Stomache (I’ve lifelong IBS as well and terrible quality sleep as part of my Fibromyalgia Full-Package and PTSD I’ve had since age 3 (just turned 44). It was Jan 1, so my only option was the ER. After comforting my family it went evil as soon as my family left. A militant nurse Practioner sat down and told me in no form of kind manner, but in a stark, icy, threatening voice and look in her eyes declared: “For the duration of your stay here, YOU WILL NOT SLEEP! You will not eat.” I again explained I’d already been up over 5.5 days straight and I *really* needed to sleep. She yelled at me her utter refusal to do anything to help me sleep. They did the opposite instead, keeping me forced via some crazy/psycho experimental trash they spiked the *unmarked* pills or IV to force me awake for a combined, FORCED sleep deprivation experiment for a total of over 11.5 DAYS STARIGHT. Over 276 HOURS, being 100% awake and without any food. The known world record is 11 days, 24 minutes. I blew the Guinness Book World Record out of the water by at least 6-7 more hours. I cannot describe what that does to a person. Feel free to look it up. In addition, the hospital (Spectrum Health Owned Zeeland Community Hospital in Zeeland, MI) MADE ME at least more than 10 times as violently Ill as I ever was at home. Spurts of diarrhea every few hours became me drenching my entire self, entire hospital bed and entire floor (unable to prevent several LITERS of the most foul smelling liquid diarrhea I ever knew was humanly possible. Every time I thought I was done ‘going’, within 2- seconds, 2 minutes occasionally 10 minutes if lucky it would all just start streaming uncontrollably again, PAINFULLY, cramping, dozens of sessions of filling the toilet bowl till touching my genitals directly, then flush, then spasm and refill the bowl, then flush then spasm and refill the bowl at least 3 times per session. Over and over. Kept soaking the bed with liquid feces, went through at least 50 adult diapers under their “care”, was without consent put on display, as while 2 staffers would eventually (never sooner than 10 minutes, usually 20-30 minutes after pressing the CALL button, and would invite *other nurses in* NOT DOING ANYTHING TO HELP ME, just gawking and staring and glaring at me and gossiping about me. Of course they were all early 20’s, extremely gorgeous/smoking hot “10’s” (it was NOT a “teaching hospital and I never consented to be out on display completely nude, absolutely covered in my own liquid filth, so many days awake, in rampant pain, utterly degraded and scarred for life. Just so the sadistic government or corporate entities who were performing these ungodly, cruel , torturous experiments on me JUST TO SEE WHAT WOULD HAPPEN. And I have piles of pure, unedited video, audio and photographic EVIDENCE I began recording when I could when they didn’t notice. A case is now open and I hope to present my evidence this coming week. After the experience and being allowed to leave I’be spoken to 3 other Doctors, 4-5 Nurse Practitioners, 3 managers of Urgent Care Clinics, 5 licensed Pharmacists, 5 Paramedics, 4 case workers from my Health Insurance company and all were extremely disgusted and horrified, not ONE made ANY SINGLE ATTEMPT to *JUSTIFY* ANY of the treatment and practices used on me and far more bizarre activity with the feeling of a high-powered electrical cable shoved into the back of my head forcing 100’s of universes to simultaneously collide in my mind every single second I was hooked up to their IV and eating unmarked pills. They also destroyed my ability to speak, think, breath properly at all, as if powdered quick-Crete cement was shoveled into my mouth it took MINUTES to raggedly, unintelligibly speak 2 sentences. None of that happened at home. They’d leave me completely alone, unattended, zero doctor ever checked on me, blasted me with a screeching horn well over 120db at close range while I was silently laying on my side just trying to survive the experience and get OUT AS SOON AS POSSIBLE. It also utterly destroyed my respect and trust for 2 of my own blood siblings who chose to laugh at me to my face multiple times and call me a liar: I’d NEVER HAVE considered doing that to them. If I doubted their loyalty and trust I wouldn’t have told them a word. Now I have no plans to speak to them ever again. Remember, these wonderful psychiatrists you trust with their fancy words (which I already knew all of them) STILL prescribe Antidepressant and related “medicines” like throwing rice at a wedding despite the FACT that the Federal Government has years ago now FORCED ALL SUCH DRUGS to carry SUICIDE WARNING LABELS BY LAW, because more than enough people ingesting that garbage have been proven to end their own lives BECAUSE they took these medicines! They’d be alive if they hadn’t! Imagine how hard BigPharma fought that! Their biggest selling products given black-box SUICIDE WARNING LABELS (not cautionary labels, warning labels). FDA needs to ban them all but to scared to go that far cuz they make $off all sides. Do you let your kids, spouse, loved ones, daily, friends gobble up their Suicide Pills like good crazy people do? And some want to convince me these people can be trusted? One comment even mentioned their loved one “believing in conspiracy theories”!!! What if they’re right and your wrong? How many “conspiracies” have been proven true? Ask Donald Trump how it’s working out! Ask the US Military why they allow US soldiers to rape fellow U.S. soldiers ALL THE TIME and do NOTHING to stop it. As long as the monkey pulls the trigger when we tell the monkey to pull the trigger, we’ll ignore these victims, who already know to report is to get raped far worse, more green by more soldiers at once. But America, the health system and military would NEVER sink to such abhorrent acts! Right! Just like how on 9-11 we lost about 3,000 citizens. In retaliation we killed over 300,000. Plus that double-dose Atomic Bombing of Japan. We’d never double the genocidal Bodycount of Nazi Germany exterminating Jews, but that darn “Manifest Destiny” lie saw us do exactly that: well over 12 million indigenous people of this land were exterminated so we could take it (over 95% of the ENTIRETY of the Native population was killed by Euro-invaders. How many racist killers are in your family tree? I’m Cherokee/Irish so don’t even attempt arguing that issue with me. The “delusional” people are the masses so deeply in denial they actually pledge their allegiance, hand on heart, to this disgusting, collapsing, imploding pathetic nation. And their doctors. You can disagree all you want with all I’ve said, just realize it makes YOU the actual “crazy people”. Our East Coast: “Lady Liberty! “Bring us your tired, hungry, poor, wretched masses yearning to be free!” Our Southern Border: “We’ll separate your kids and throw them in cages with barely enough to possibly live on until we can ship them all back where they came from to DIE!” America is extremely bipolar and violent and evil. “Delusional”… no, others are just too stupid to understand how much sense they’re making while contrasting everything the rest believe because it’s what they were raised to do. Songs and pledges taught via repetition daily to toddlers and kids who have NO IDEA what they’re even saying? That’s called “indoctrination” and its vile. We also have this weird habit of leaving war zones with most of the other countries much needed opiates/poppies (we jacked over 90% of Afghanistan’s, same with Vietnam, used US troops to load US cargo planes so the US could create junkies and resell it on the black market to buy more wars and guns and bombs that we can now drop from 30,000ft using an Atari 2600 controller and wipe out several thousand “Just like in Call of Duty! CoolI’m a HERO!”. Not if you’re in healthcare or the military you’re not. Try Prozac, you’ll feel SO MUCH BETTER about shear denial and devotion to this false god and a stupid man-made idol, the US Flag- a stinking rag on a stick. I’ll die for people. NEVER for any government. Never for any flag. “But they fought and died to protect you!!!!”. I never asked them to. That’s their psychosis, not mine. I’ve met several ‘Nam Vets who’ve loaded Vietnam’s heroin into IS cargo jets for resale (NOT to destroy it for the betterment of humanity). If I’m delusional, patriots are inbred sheep.

[@egrace3738]

Haha...'dangers of romance novels' 😆

[@romanticskeptc]

My mother read them constantly and they were dangerous... She would constantly burn dinner. 🙄

[@antonydrossos5719]

@@LuciaInman Normally, I can't stand pastors, but in this case, he's right

[@skycloud4802]

@@LuciaInman irony is that a sometimes churches sell these 2nd hand books

[@shamfagrey]

Lol hmm, there are many more besides romance novels. 🙂

[@jj-bp3fr]

Never understood why people read them when the stories are delusional, made up, fantasy, fake. I guess people want to live in a fantasy world bc they can't have romance in the real world.

[@cindyrhodes]

I really appreciate these informative & educational videos! Thank you! I especially appreciate the clinical descriptions followed by the examples; they give me a platform for introspection, self-analysis. While being stuck at home during this pandemic, Dr. Grande's videos are great helps for keeping me sane.

[@toddk1479]

A relationship with a Borderline or Narcissist can exacerbate delusional thinking. The information received is confusing.

[@sansocie]

Thank you. Food for thought

[@albertboyleiv1439]

Have you hugged an NPD, lately? Last time I did, she was hugging herself while giving her a hug. True story.

[@allyson5712]

It took half a day just to wrap my head around the definition of delusion. 😳😄 Thanks for this complex video, Dr. Grande, great for keeping the mind active during this time of isolation.

[@migueldeleon6677]

As a clinician who has been out of regular practise for over a decade until now, your video has been more helpful (and less expensive) than trying to mail order a new DSM-V. Also, I watched another video this evening on this disorder, by another psychologist; I found yours much more clear and professional.

[@rejaneoliveira5019]

Great review of delusional disorder! Thank you Dr. Grande:)

[@mrs.reluctant4095]

Thank you so much for this topic. 💗

[@HumanimalChannel]

Thought broadcasting is extremely distressing as are somatic symptoms Schizophrenia is exhausting in general for so many reasons

[@sarahsmiths550]

Thank you so much Dr.Grande 💚

[@TheMirabillis]

I had a friend who has “ Persecutory Delusional Disorder “. He believed for more than 10 years that his neighbours were out to get him. He believed that they were blowing up his washing machines and that they were shining lasers into his home. He believed that they were breaking into his home at night when he was asleep and doing things to the kitchen cupboards. And that they were following him when he went out. We no longer have a friendship because every time I would see him he would tell me what the neighbours were trying to do to him. None of what he was telling me was true of course but in his mind he was convinced that it was true.

[@Nancy-ow9wy]

Same here going through that

[@Inessa77]

Thank you so much, brilliant as always!

[@RubenGarcia-hp6vd]

Excellent video. I've been diagnosed with schizofrenia myself when I've never experimented allucionations of any type or had a disorganized behaviour/speech. This video hits the nail about the confusion psychiatrist go through when trying to recognize a delusional disorder.

[@Sunflower-vp8bc]

Love how u broke down the differences, extremely helpful 🙏🙏🙏🙏👌👌

[@paper-chasepublications9433]

Very interesting. Thanks again Dr. Grande!

[@kathrinjohnson2582]

I like the way you explained this. Great video.

[@CissyBrazil]

Perception is reality. Thanks, Dr G

[@MrsDaedalus_]

The one acquaintance I had, who tried to make me fall for her psychosis, I suspect has schizophrenia. And with watching this video I think that she may have mixed symptoms. What structs out to me is the disorganized speech. She wrote and spoke really cryptic. Sometimes I couldn't make sense out of what she want from me. And she also thought that what's happening in the show Supernatural is real. She's 45 and her condition has never been treated. I don't have contact with her anymore, but left it untreated, is really dangerous.

[@lyndawood7937]

Very interesting topics. Enjoy your videos a lot. I have learned a lot from your videos. Thanks.

[@lanierambo3680]

Dr. Grande you are just the best, your explanations shed so much light on really complex topics. Would you be willing to look into Hart Family car crash, the investigators believe it was a murder suicide? It's a disturbing case and I wonder what mental health issues these ladies had, if they has any at all. Keep up the good work.

[@InkfinityOkamix3]

Starting to think I’m delusional. Thanks for this.

[@Ahiya2.0assdestroyer]

Yeah i can say that by judging your pfp

[@InkfinityOkamix3]

@@Ahiya2.0assdestroyer lol, I’m doing a lot better now. This was a year ago, and a lot has happened since then.

[@Ahiya2.0assdestroyer]

@@InkfinityOkamix3 good to know that fam

[@markdrost8458]

Tell us more about "Sensitive" as opposed to "Reactive" Emotion

[@FelixArno]

"Sensitive" is when you notice that Bill Gates is not elected, yet giving us orders "Reactive" is when you notice that Alex Jones is banned & everything he said is becoming realized If the lockdown continues, lots of folks will share this "delusion", making them a subculture (thus no longer a delusional order)

[@MH-cv5ye]

@@FelixArno interesting you said this. I just made a bill gates comment also.

[@AmyLSacks]

@@FelixArno Or you could just distrust them both, for overlapping but not identical reasons.

[@dcpc5980]

I have a bit of trouble with this myself. I had a very unstable childhood and escaped through reading and my imagination so it's not surprising that in times of stress I have a tendency to slip into a delusion. They are usually quite pleasant so that's good. 😂 I never bother anyone with them and keep them to myself.

[@cherylstewart8633]

That is daydreamng, not delusional disorder. People with this talk about nothing but their delusions

[@atonomusxul9897]

I enjoy your videos greatly. I actually ran into this one and a few others after searching to see if you made a video on about Cotard's Delusion (Aka Walking Corpse Syndrome).

[@m.f.richardson1602]

Always interesting and informative. Thank you Peace 💕🇺🇲

[@mandee024]

Can you analyze Amber Reid (Amberlynn Reid)? She claims to have been diagnosed with depression and bipolar disorder and in her recent video she claims she has not washed her hair in 2 months due to her depression, meanwhile she has gone out and continued to live her normal life, so I am not sure why washing her hair would be something she couldn't do because of her depression. I am interested in hearing an ACTUAL doctors perspective on her and her "issues"

[@harrie4667]

Would also be interesting to discuss the psychological side of her problems with food

[@mandee024]

@spacekitty5000 Thank you for your unwanted opinion on MY comment to the Dr.

[@marmadukescarlet7791]

spacekitty5000 I don’t see why he wouldn’t. Dr Todd has critiqued Trisha Paytas’ claim that she has DID.

[@annastarr2043]

@@mandee024 that's the risk of commentary. You're gonna get commented on.

[@stevemanning3823]

Ty so much for putting this video out there I personally thought stuff like this was fake until I have been put through the ringer for 6 years !!! with someone how I personally believe has Disluasinal disorder they just refuse help for it because they believe nothing is wrong with them but at least it does give me more of a understanding for which they go through etc

[@Psychoanalytical87]

Ayy Dr Grande!!!

[@archaeologydad3761]

Hi Dr. Grande! Really interesting video! I wondered if you could do a video on the phenomena of "targeted individuals" and "gang stalking". It's interesting (and worrying) to see how the internet has allowed people experiencing delusions to form communities that validate their beliefs instead of getting treatment.

[@badbrad1564]

I suffer from this but I have learned to just ignore it.

[@christinley5213]

Never heard of this b4..I learn something new everyday!:)

[@billhildebrand5053]

Thankyou Dr. Grande. 😅. Today I missed the O.C.E.A.N. However I learned a lot I would not have known prior to this analysis. 😀😄 Oh, the DEEP DIVE 😄 made reference to the OCEAN. 😄

[@mouseyman]

Dr. Grande, could you please address the issue with patients who have these types of disorders who lie to their clinicians in order to avoid hospitalization or increasing the dosage of medicine.

[@t.l.1610]

Yes! I second that request. How does a clinician adequately distinguish reality VS what they’re being told.

[@Sarah.Riedel]

I would love to see this topic explored. My partner of 10 years was diagnosed with delusional disorder when he was serving a county year in jail on an assault charge; the assault was actually directly linked to his diagnosis (he was convinced this guy was part of this cult he called "the Family" so he beat him within an inch of his life with a socket wrench). Because he had no prior record the judge put him in a diversion program that was specific to a law in our state, it gave you the option of psychiatric treatment in lieu of prison time (which was really pretty generous considering he could have gotten up to 7 years in prison) for first-time offenders whose mental health had contributed to the offense. He had previously been hospitalized for 27 days in a psych ward where he was prescribed antipsychotics, and again by the jail psychiatrist. He was required to attend psychotherapy once a week for a year. He literally stopped taking his meds the very day of his last required appointment. He has never once acknowledged his diagnosis and he genuinely does not seem to believe he is ill in any way.

[@zrobo]

Call the doctor

[@selfelements8037]

Funny. If subtype Persecutory is the most predominant and Persistent Delusonal Disorder is triggered by the environment, then it indicates an external group of people is inducing such behavioral traits.

[@selfelements8037]

Look up Organized Community Stalking (aka Gangstalking). Victims of this hidden crime are falsely diagnosed as either Paranoid Schizophrenic or delusional (DSM ICD-10 F20/F22).

[@aleronova1884]

Dr. Grande - thank you so much for posting this and your other videos on the various "psychotic" disorders. I've watched a good deal of your content but am still struggling to understand what I might have. If you think it would generate enough interest, could you post a video that helps with the differential diagnoses I'm stuck between? I believe schizoaffective (BD), schizotypal PD, and delusional disorder could all be a fit. I'm also very curious how PTSD could play a role in the onset. Specifically, I have had symptoms like delusions of reference and major mood disruptions for about two years since the PTSD event. I also sometimes see or hear things that aren't there. Medication doesn't seem to make a big difference except for the bipolar symptoms. Lastly, I have been seeing a mental health professional for the entire time and have not been told directly what she thinks I have. I find mental health fascinating and your videos are a frequent go-to when I want to know more!

[@Brett_S_420]

Try insight/mindfulness meditation.

[@derekkrueger2118]

Dr. Grande, Really enjoy your channel! I appreciate your honesty and in depth research. I would LOVE to know your thoughts on "Grey Gardens". It's a documentary about Big and Little Edie (Edith) Beale, relatives of Jackie Kennedy. I there is A LOT going on there!!! Thanks!

[@thelionpath]

Dear Dr Grande, would it be possible to do a video on the psychology of "police impersonators"? Do they look forward to getting caught? Do they have the same psychology as military veteran impersonators, or is it different? What is their real goal? Why not just go to the police academy and get a job with law enforcement? Many videos of them getting busted, few videos discussing why they actually do it. Thanks, NC

[@treysparling5924]

Fr they’ll let any dumbass become a cop after training them for like 3 months hahaha

[@Sarah.Riedel]

1) They don't meet the criteria to join the force - either they have a prior record or they're overweight or etc. 2) They're a professional predator and this is one of their favorite ways to lure potential victims. 3) They enjoy feeling powerful, being automatically respected by other people without actually having to do anything to earn it.

[@deadlysquirrel5560]

I had a neighbor with who suffered from delusional parasitosis (a belief that you're are infested with bugs, under your skin, and even in your stools). It is supposed that she acquired that from the years of use of a morphine patch for an old neck injury that none of us ever noticed. Anyhow all her medical Dr. ever gave her was creams and ointments. Eventually she started cutting the back of her elderly father, claiming he had bugs, too, and he believed her and allowed her cutting. She once used the bathroom of a neighbor when their plumbing was being worked on and told the neighbor her bathtub was crawling with bugs.

[@dawnelizabeth1828]

Hi Dr.G, is this a new disorder, what's the ICD and is it in the DSM?Take care and thanks.

[@guardiana44]

Dr. Grande, thank you so much for your great and informative content which is always balanced and not over the top. Can you please make more videos on delusional disorder? Especially persecutory delusions that are non-bizarre like someone believing he is being poisoned by everyone? And if someone believes they are being poisoned and experience phyical symptoms that makes them feel ill most of the time, would that qualify as the somatic delusional disorder? How can family memebers deal with constant accusations?

[@Neilsowards]

Back in the 50's a relative believed he was being poisoned by his wife. He was very capable in all other respects, was a practicing physician and active in the community. The family said he was so believable that they began tasting the food to make sure their mother wasnt poisoning it. She wasnt. He was sent to a State Hospital, When he came home he divorced the wife and she had to leave the home. It broke up the family. Very sad. This really sounds like Delusional Disorder to me.

[@Sherbieable]

I really appreciate your talks. Would love to have you address identifying the clinical presentation of delusions vs delirium. Thanks

[@mayrawellington1130]

Thank you!❤️

[@natashamudford4011]

I'm curious how you would categorize people who believe in the future rapture of the church, end time prophecy of a coming tribulation (Anti-Christ global ruler and Mark of the Beast technology for buying/selling goods and services during such time frame), the return of Christ, battle of Armageddon, and anything else related to biblical prophecy. Especially as pestilence (CV), plague (locusts in Africa), and earthquakes in various unusual places are currently in the news.

[@kathrinjohnson2582]

I wish psychology didn't have to tip toe around religion. We would know so much more if that wasn't regarded as off limits but as something to study and treat.

[@marmadukescarlet7791]

Natasha Mudford the interesting point about these groups is that if these beliefs were confined to a very small percentage of the population, they would definitely be classified as delusions.

[@leiaedmonds4086]

It's not a delusion, just misinformation. Just because someone believes something they are told doesn't make them delusional it just makes them poorly educated. Especially if there is a community behind an idea and to someone from that religion it would be more likely to make sense to them. A delusion would be something bizzare with no real logic or proof to back up the idea.

[@leen_art]

Thank you this was so helpful

[@cobracommander8133]

Dr. Grande, what is your source for the first definition of delusion you give at 0:29 ?

[@chicham123]

I have an older sister who has delusional disorder, it's hard for the loved ones and we feel sorry for her but couldn't do anything 💔

[@sam_i_am_.]

I miss when you used to make this type of content.

[@zizilioziz4532]

Hello Dr. Grande, I have a question that I can't seem to find much information about; can mental illnesses be brought upon under temporary conditions? My reason for asking this is that, a good friend of mine has met a person online who he's expressed a great amount of feelings for although they have not met each other in person yet. They plan on meeting soon, however, he is behaving in an almost BPD-type stype of behavior. I have known this friend of mine for many years in person, I have not seen him act like this before. The two have seemed to conclude that their issues stem from fear, since they've yet to meet each other. Thank you for the content. I have always deeply appreciated your efforts to remain as unbiased as possible as well as the very clear distinctions you make between opinion and science.

[@Ravenzpeak]

Can this disorder be caused by head trauma, as in a car accident or sports injury to the head?

[@smokelife6315]

Yes. Brain damage alters the brian

[@Sarah.Riedel]

I would say not directly, although injury to the prefrontal cortex and other cortical structures can cause dramatic changes in behavior which could theoretically include feelings of paranoia or grandiosity. But I think by definition delusional disorder (and I believe the entire DSM-V in general) does not have a physiological etiology.

[@Brett_S_420]

Anything can happen within the brain.

[@willowg.9210]

Yes, my mother had a brain injury incident and now, 2 years later, she has full blown delusions that everything and everyone is out to get her. She has gotten worse overtime, it’s sad seeing it progress.

[@phill3623]

Hi Dr Grande Can you explain the treatment options for delusional disorder Is it resistant to treatment and difficult to manage as I've read My wife developed this six years ago and has no treatment or medication Would be so grateful if you would speak about it Your presentations are always very clear and helpful

[@dianamarie5663]

Excellent Dr. Grande. I have had contact with dozens of persons with each type of delusion you describe. You broke this down so it can be understood. I also know there can be a brain issue such as Parkinson's or dementia, which is not considered part of this psychiatric disorder. But can a brain dysfunction be the key to triggering delusional disorder? Thanks again.

[@LuciaInman]

great question

[@StephanieBadAzz]

I feel like my cousin has this. She has a persistent belief that someone is breaking into her house no matter where she lives. And she thinks people are hacking into her email and ring doorbell somehow 😐

[@t.l.1610]

Cat Lady Omg! My brother does too! He almost shot a relative who came home from work at 12:30am. They’ve never been broken into ...

[@anonymouspeacefulperson6199]

Cat Lady firstly, I didn’t think I was being broken into, wherever I lived, only since living in this property. I have a list of happenings and a police report that I took to the police station and cannot get evidence because ADT have extremely bad reviews for their cctv and the alarm doesn’t work properly. Items such as blinds ripped off the loft windows, bath sink smashed, computer cables stolen. A black persons foundation found added to my makeup. Black Clothes slashed, washing ripped off my washing line, Bath-salts stolen, Bath-salts poisoned with arsenic, books stolen from the bookcases, towels stolen. Intruder in the middle of the night trying to jump on me. Food tampering causing ill health and abuse. Food tampering at work causing ill health. Cabinet drawers opened at work, documentation stolen, accounts receipts stolen from my from my drawers. Milk tampered with in the workplace fridge. Microsoft office documents destroyed, Microsoft office documents changed with a password protecting the documents. Black cardigan slashed with a pair of scissors. A drug test done and prescription control drugs found in my coffee with contraindications causing a coma. Food tampering causing a suspected stroke which was a prescription drug for epilepsy with side effects of confusion, slurred speech, forgetfulness, extremely high blood pressure and numbness, dizziness, tremors and collapsed on the floor and a drug tramadol known by my doctor to have an allergic reaction to. The 4 drugs combined together having been known to cause a patient to go into a coma. On attendance of a work dinner dance my room was broken into and my eyes attacked causing pain and deterioration of my eyesight. My psychiatrist ordered tests regarding the medication and on the day my tests arrived at pathology at the hospital, the machines broke down and the pathology report showed they were unable to get a result due to malfunction of the machines. The hospital procedures were inadequate and didn’t provide the police with any evidence when asked by the police to do so! I would say probably 2 or 3 things would be a considered a normal coincidence but all the actions happening in a timeline of 1 year, I would say is more than a coincidence and the only thing that hindered my case was police evidence. Having purchased a pathologist drug test for abuse, if someone tries to do this again in the workplace, I will not hesitate to send the results to the police and prosecute and sue for negligence. So the delusion of being persecuted I would actually say is justified and I would question the label given by the hospital on duty mental health services team. I have never had hallucinations and never been the kind of person to be overly paranoid. I just hope justice will prevail over projection of anger towards an innocent person. Luckily I am a resilient person that can always see the bright side after so much adversity and use positive experiences to stop worrying about negative people and be brave confronting abusers.

[@udonoquesabo3235]

@@t.l.1610 Oh my gosh .

[@t.l.1610]

Anonymous Peaceful person Wait, are you the cousin mentioned in the comment? Sounds like it ...?

[@StephanieBadAzz]

T. L. No, that’s not my cousin but their story is very similar

[@markussjostrom3699]

What diagnosis would you give yourself? Greetings

[@marymvc]

Good talk Dr. Grande, but I just wanted to take a moment to tell you that you have beautiful skin. No wrinkles, blemishes or scars. I'm envious.

[@elisamastromarino7123]

I wish an alien _would_ visit my mom to warn her of the dangers of romance novels. Is that wrong? 😄 Thank you, Dr Grande.🌹👍

[@LuciaInman]

lol

[@donertherenebloodsaround2033]

HEY DO YOU HAVE ANY TIPS ON DEALING WITH WEST WING MENTALITIES BESIDES PATIENCE? ALONG WITH CEASING CONTACT FROM ONE THAT SALES KANE,EPILLS,AND SOUR.

[@Yellowstoners]

Thanks. I was diagnosed with this and I didn’t understand it.

[@yuliyagolovina5214]

Dr Grande, do you still have time for new appt?

[@informationsense4621]

Sir, I have some symptoms such as severe hallucinations, illusion, visual hallucinations, relationship problems. It leads to delusional disorder. Please tell me that what kind of medicines can take to cure delusional disorder. Please suggest me some medicines.

[@kymanibrown8039]

I believe my mood change the world around me

[@hostronic]

Can you do a video series on mental health disorders/illnesses not included in the dsm-5 that have evidence of legitimacy? Like orthorexia, for example.

[@HumanimalChannel]

Orthorexia has been around for a very long time. Having been caught up in an ED whereby I would severely restrict acceptable foods. I think it's slightly misunderstood or rather incorrectly described because whilst it can often be about clean eating about Eating only Perfect foods that are of the right origin ie grass feed organic wild, etc etc It can be a limiting of items for any reason. Ie fibre cellulose oxalates machine and the list of acceptable foods because of how it's perceived to affect your body may be as short as 3 or 5 items. Not describ8ng this well, my cat is sitting all over me threatening me...it's breakfast time

[@jessicarose4923]

Speaking of delusions, how is someone that is erotomanic classified? And does it only apply to people having bizarre false beliefs of a romantic nature about someone they don't know, like a celebrity, or can it be applied to those who have those same types of bizarre beliefs about an ex or a friend?

[@CristianSimionescu]

Can you please analyze Diatlov? He is a character that appears in Chernobyl.

[@Cali-Girl]

I have a 61 year old sister-in-law with intellectual disability identified as a child. The term used in her school records were moderate mental retardation. Is it possible to diagnose person with schizophrenia who has an intellectual disability, and also a psychiatric diagnosis of bipolar disorder? Her medical records have carried this over and contains both terms, her psychiatrist several years ago told me it was very difficult to differentiate psychiatric disorders in the setting of mental retardation. The family keeps holding on to these labels, and it's difficult to explain the possibility of misdiagnosis. Any ideas?

[@christianhill8681]

Watching 👍 Liked 👍 commented 👍 subscribed 👍

[@FindingoutWhoIam]

Can you do a video on schizoaffective disorder please?

[@missmillihall4362]

Hi I’m wondering is delusional disorder the same as paranoid personality disorder. If not what is the difference.

[@larrycarroll1791]

Could you share some thoughts on GASLIGHTING please.

[@evalinda5246]

A man I was talking with had some form of delusional disorder, of the jealous kind. It would really make me feel crazy, the way he would jump to conclusions about me “wanting” or cheating on him with another fictitious man. Even once we got over that hump, he would often go on these long solo rants over the phone and barely give me a chance to get a word in edgewise, or even pause to breathe. I feel like this might’ve been signs of the more advanced form of delusional disorder (he was 50) that Dr. Grande describes here as Schizo-affective disorder. Because it literally felt like he would alternate between these episodes of mania combined with depression, or barely wanting to reach out to me, some days. He would tell me he was “thinking” about a lot of stuff, on those days. This seems interesting, that combining these unresolved jealous delusions with mania and depression could gradually become (in an older man) schizo-affective disorder.

[@mcd5478]

Interesting 👍🏼👍🏼

[@carolinekerr5977]

Hi. Can trauma of sexual and other types of abuse by a gang cause delusional disorder later in life?

[@chloekit4861]

What if they’re saying a person is stalking them & claims this person has been texting them & harassing & following them when all of the above are delusions??? She thinks she sees imaginary text messages from someone or is she just adding in that this person is more real because she’s getting messages & this would justify her story? It is so difficult to go along with delusions. It gets really bizarre when there’s distorted reality & claims things are going on that aren’t

[@Zizou_77]

Are you familiar with the Richard Trenton Chase case, Dr Grande? I’m not sure you’ve done a case study on him previously but that could be a fascinating topic to discuss if you’d be so kind? I don’t know if you take requests from people you don’t care very much for or you give priority to patreons? Anyway, just a suggestion during these unprecedented circumstances we all find ourselves in. Keep up the great work. I still watch the vast majority of your stuff but refrain from commenting due to prior ‘issues.’ Archetypal disorganised serial killer... and alleged Renfield syndrome/somatic delusions. I’d greatly appreciate it if you would consider it. Thanks for your time, Dr!

[@Zizou_77]

Thank you for the ‘acknowledgment’ Doc. And I’d like to apologise again for my behaviour during a specific video that you uploaded last year. That particular case was, and still is, close to my heart. Regardless, I was out of order with some of my comments, they were shameful and unbefitting to use on such a fine, reputable and knowledgeable channel. Yes, I can be robust at times but a lot of it was immature and tit for tat. I should know better than to engage in such needless drama. Thanks for hearing me. Stay safe Doc!

[@Andrew-wv6fy]

I was diagnosed 18 months ago. Very difficult.

[@Neilsowards]

Just read a fascinating book called Run, Hide, Repeat: A memoir of a Fugitive.... by Pauline Dakin. This takes place in Canada and is a true story of this woman's childhood which involved moving and secretiveness and choosing to not respond to family members or to respond to them in a paranoid way. The mother got taken in by a pastor, who believed they were being targeted by the Mafia and this e ntailed all sorts of maneuvers to protect themselves. The pastor, a functioning pastor of several churches, had this delusion and it was very involved. Dakin writes about how this affected her childhood and then her adulthood. It's the most involved delusional system I have ever heard about. In all other ways he had normal functions. He did have a history of head injury in his childhood. Her research in adulthood led to a diagnostic guess of Delusional Disorder for this pastor.

[@AJ-vs2zn]

My sister is afraid that I may smell bad smell from her and if I smell bad smell from her that will make the world end , and she keeps thinking that she may cause people to die just because she sayed something bad about them... And most of the time she will feel sad also will cry because of this and she feels guilty all the time How to help her please!!!!

[@Serenity-vs3wy]

Very interesting. My brother has delusional disorder. Onset was in his mid thirties. He is 53 now and has lived with my parents for 20 years. Has not had any life of his own. I often wonder if he may have early onset dementia after years of this. Or if he will live a shorter life because of it.

[@rachaelpino6914]

Can this occur simultaneously with antisocial personality disorder?

[@Craigdna]

Can delusions form from the repetition of videos/movies watched, in a sort of subliminal way, and can attention seeking be a part of the formation of a delusion? My understanding is that delusions can reside in the temporal lobe, which is also affected by excessive drinking of alcohol. I wonder if there are studies done on how susceptible someone is to forming delusions from excessive alcohol consumption, because in my experience, there seems to be a strong correlation, observationally.

[@slbrown2934]

🎉my boyfriend has been having the jealous disorder for about 6weeks now. To the point of violence. Is there any hope of change? I can’t get much relief

[@jerrymarshall2095]

Things are so crazy these days,you cant tell if you are suffering from confusion,dilutions,collusions or even allusion.

[@AMMA92244]

I think it is important to point out is that in the delusional disorder subtypes such as jealous and persecutory, the delusions sometimes may be based on events that actually happened. For example, I know two people who are experiencing this. One lady has delusions that her husband is cheating on her with just about every woman around, and looks for "evidence" to prove it in everything, even if he takes a shower. What triggered this state of mind is her husband flirting with someone right in front of her. Another woman survived war persecution along with her family members. She is in a mixed marriage and when she followed her husband to his hometown, some people she met there did not like her because of her ethnicity. She was verbally and physically assaulted. Her husband admitted not trying to protect her. Ever since, her state of mind is that he is the #1 person who is conspiring to harm her and is making all the neighbors to try to harm her too. A simple electricity outage is "proof" to her that someone is trying to harm her and that someone turned off the power on purpose. In each case described, the women experienced real traumatic events (emotionally, mentally and physically), and the initial delusions are backed in some reality. However, it has gotten to the point that the delusions are now set in and constant. With Schizophrenia, you can see overlapping delusional content (persecutory and such), but in schizophrenia the delusions are perceived and played out differently. Typically, a schizophrenia patient would be verbally responding to hallucinations that are closely linked to the delusions. In the delusional disorder, the hallucinations are often absent but delusions present. I wonder whether intense cognitive therapy to reframe some of those convinctions is helpful or not?

[@cherylstewart8633]

Thank you for this explanation. I am confused about your mentioning of treatment. My son has mixed, mostly paranoid, delusional disorder. He does not accept that he has any disorder and incorporates any attempts at help into his delusions. For example, he was forced at one time to briefly take anti-psychotic drugs and he then had a story that the drugs made a hole in his brains and that became one of his main issues for about 10 years. I wonder how any person with this condition gets into treatment - I am hoping you can explain this. Thank you for all of your work.

[@l3ve2r3ad]

Can a personality disorder and delusional disorder happen at the same time?

[@johnthomson6507]

Strange that All of the conditions are so closely related. My father was a paranoid schizophrenic and some of the behavior has washed up on me. Although it's mainly immaturity in my case.

[@jaynedavis3388]

How do you tell the difference between delusional disorder & someone who’s just been through something incredibly rare? Like being abducted by aliens?

[@d6187]

I have a former friend (she has cut me out because I tried to get her help.) She has the grandiose type I believe. What can be done to help her? She is a single mom with a 6 year old.

[@jacklarm2170]

Can a diagnosis of delusional disorder be applied to religious groups, especially when the group-mind satisfies the criteria of delusional thinking and behaving. My apologies if this sounds naive.

[@getnanoed]

Great video explains my ex wife to the T!!! She really believes her delusional bs everytime I ask a yes or no question 🙄

[@miriamgonczarska613]

What is the cause of delusions?

[@MicheleMlard]

Hi Dr. My son has paranoid schizophrenia he destroys his room leaves food every where why does he do this

[@kshatriya9921]

I just found out that I am one of the person, facing this disorder, alongside many other... I don't know, how it wasn't identified by the doctor? Doctor, how to stop this craving for "love", how do I stop this strong desire for a partner?

[@AmyLSacks]

I guess the true crime and fictional character breakdowns get the most hits. But these are much more to my taste, usually. I wonder: was there a time when what we now consider Eating Disorders would've been considered just another aspect of Delusional Disorder? Stay well.

[@GertrudePerkins]

Anthony Riley, aka Sleeping Warrior, please take note!

[@Adam-bq2vw]

Why should religious belief fall short of a diagnosis?

[@Skelem0]

Because religion is widely accepted.

[@billhildebrand5053]

Adam 1 respectfully, religious belief is based on facts. Aside from Buddha, Shinto, Hindu, Muslim, Christianity is fact based.

[@Adam-bq2vw]

Becky Riesinger Why should that matter?

[@Adam-bq2vw]

Bill Hildebrand Based upon what facts?

[@ch2la61]

My guess would be because in nearly all parts of the World, religion has played some/major role in shaping people, countries, cultures, etc…. I would estimate that if one’s religious beliefs (depending on culture etc.) extend to the point of seeming completely illogical, such as believing they’re chosen by a God, they are God themselves without any evidence, or that a God has given them a special mission, etc…. this would qualify as delusional thinking and clearly have a distorted grasp on reality.

[@hol-upLIL-bit]

rare? it’s so common no one gets it i think.

[@adambartlett7955]

So my alcoholic roommate was trying to quit cold turkey and started having the strangest delusions, like: the neighbors 2 blocks away, along with their CATS, were reading his text messages. At the time I didn't know he was having withdrawal symptoms so it was freaking me out. The thing is, after he stopped doing the cold turkey thing and acknowledged some of what he was hearing and seeing wasn't real, he was holding onto that cat delusion, and even told my landlord about it LOL, i think he's better now tho.

[@montysloungetv]

Did I inspire this video?

[@jlm6501]

My wife seems to be presenting mixed delusions, Persecutory and Erotomanic. Her mother, brothers and I are confused on how this came about. She is 35 years old and never presented symptoms in the past. We’re worried about her and she refuses to believe anything is wrong and does not want to seek professional help. Also her mother is concerned that It can be a brain tumor causing her to be irritable as well as causing her to present these symptoms. Her mother had a brain tumor in her early 40s hence the reason she believes this is a possibility. We have no idea how to address this and as her husband I’m really stressed out because she sees me as part of her persecutory delusions. She believes I along with a few others were hacking her phone. If you have any advice you can share it would be greatly appreciated.

[@heididay5671]

Dr Grande, do you have an opinion about shadow people? I was told by a therapist that seeing shadow people is actually the early stages of demintia. Can this be true? I’m 49 and I understand if you don’t wish it review this..THANKS FOR YOUR VIDEOS👍🏻👍🏻👍🏻👍🏻

[@LuciaInman]

Interested too, there's lots of people who experience this.

[@Brett_S_420]

Drug use? If not, try mindfulness. If it is only visual, try getting your eyes checked. If things are not physically happening that are caused by these, be confident that they are not real.

[@johneder3130]

My friend I don’t know what has happened right now in your life in this situation a lot of things can’t be explained by these Doctors or scientist some things are spiritual and for things like this you got to turn to Jesus and he will set you free.

[@nancywysocki]

I am still wondering though.