What are the early symptoms of paranoia?

Persecution delusion is one of the symptoms of delusion, which is a disease of the human mental system. People with persecution delusion will have some mental problems. In the early stages, they tend to show fear or inner terror. At the same time, they are prone to feel that others are going to harm them. They need to be treated early and their condition needs to be observed more often.

What are the early symptoms of paranoia?

Clinical manifestations

Patients are often in a state of fear, feeling that they are being talked about, framed, plotted against, having their property robbed, or being raped, etc. They often have suicidal attempts and have special personality defects, such as subjectivity, sensitivity, suspicion, strong self-esteem, self-centeredness, and fantasy.

Persecutory delusion is the most common type of delusion. Patients are often in a state of fear, feeling that they are being talked about, framed, plotted against, having their property robbed, or being raped, etc. Delusions of persecution often involve suicidal intent, which can lead to disaster if not diagnosed and treated early. People who suffer from delusions often have specific personality defects, such as subjectivity, sensitivity, suspicion, strong self-esteem, self-centeredness, and fantasy. This is often related to certain stimulation the patient received in childhood, lack of maternal love, and lack of good interpersonal relationships with others.

Persecutory delusion is a type of schizophrenia. "Delusion" refers to the patient's suspicion and worry all day long, random reasoning and judgment, and impaired thinking. It is an important symptom of mental illness. Patients may experience hallucinations but no other obvious psychiatric symptoms.

Delusion is a major manifestation of abnormal thinking. Delusion is a distorted belief, morbid reasoning and judgment that arises on a pathological basis. Delusions with coherent content and compact structure are called systematic delusions; delusions with fragmented content, inconsistency and lack of logic are called non-systematic delusions. The content of delusions is generally related to personal experience, social and cultural background. Sometimes it clearly reflects real-life content. With the progress of the times, the content about religion, supernatural powers, ghosts, foxes, etc. has been significantly reduced, and has been replaced by modern technology such as eavesdropping devices, lasers, and computers. Delusions are sometimes easily confused with some wrong ideas that normal people hold, such as prejudice, superstition, and misunderstanding, but these latter ideas are mainly caused by factors such as thinking methods, level of cognition, environmental influences, personal emotional influences, lack of scientific knowledge, etc. They can be corrected as they acquire knowledge and accumulate education and life experience.

treat

Most patients with delusional disorder will not actively seek help from psychiatrists. Even if they are willing to seek medical treatment, they will rarely follow the doctor's advice for treatment. Because delusional patients (especially those with morbid jealousy) may have suicidal and murderous motives, the patient's dangerousness should be assessed as soon as possible.

1. Drug treatment

The treatment of delusional disorder mainly relies on drugs, but different types of delusional disorder should require different treatments. Antipsychotics are one of the first-line drugs. If the patient does not cooperate with treatment, consider using a long-acting intramuscular injection. Antidepressant medications may be used if the patient has significant mood swings, including post-psychotic depression. Currently, the most commonly used antidepressants include traditional Chinese medicine and Western medicine such as tricyclic antidepressants.

2. Psychosocial therapy

Mainly by providing support to patients to change certain behaviors. Additionally, patients should avoid excessive stress, including major life events. Cognitive behavioral therapy may improve patients' delusions, but it is only auxiliary. Psychoanalytic therapy may exacerbate irritation and do more harm than good. If the patient agrees, his or her family should be encouraged to participate in the treatment plan, which will help the treatment progress.