Many Nigerians have delusion disorder; if you are such a Nigerian, or any other person, the below write up might help you.
UNDERSTANDING AND HEALING DELUSION DISORDER AND DESIRE FOR DELUSIONS
(From the perspective of Spiritual Science.)
Delusion disorder is real; in it a person totally believes what is not true as true; I have seen a young woman run away from her apartment to my house and hid in my closet because she believed that her neighbor is out to kill her and had already killed her two young children; I saw another believing that Mafia folks are on her heels, looking for her to put a bullet into her head, ran and hid in the closet; I have seen men believe that they are the most powerful persons on earth or the most intelligent persons on earth or the most handsome persons on earth (a woman told me that she is Cleopatra, the most beautiful woman on earth) when, in truth, they are none of those things.
In delusion disorder a person has a false belief about his or herself and no rational feedback could dissuade him or her that the belief is not true. No one is out to kill the paranoid woman above; the woman who believes that she is the smartest woman on earth is no such person; if you are smart, as some people are, you discover the DNA at age twenty (as James Watson did) or discover the law of gravity at age twenty-three (as Isaac Newton did) or discover special relativity at age 26 (as Albert Einstein did).
There are smart people in this world; they usually demonstrate it and all of us can see it; they do not just claim it despite evidence to the contrary.
According to the American Psychiatric Association’s Diagnostic and Statistical Manual, fifth edition, 2013, there are six types of delusion disorder:
Grandiose type (belief in one’s superiority and power),
Persecutory type (belief that other people are out to get one),
Jealous type (belief that one’s girlfriend or spouse is cheating on one),
Erotomaniac type (belief that a famous person is in love with one),
Somatic type (belief that one has a medical issue that one does not have)
And atypical type, a mix of the above five.
Actual delusion disorder is rare, but many people desire delusion disorder without knowing that it is what they are doing.
You can feel inferior and desire to be superior and powerful and that desire for power motivates your behavior and you are filled with anxiety from fear of not seeming superior and powerful (if there is anxiety in one’s pursuit of power it means that what one has is neurosis, or personality disorder).
In neurotic delusion the person has a wish for power, a desire for power, a desire for beauty, a desire for intelligence, but does not actually have what is desired.
However, the desire is so strong that if other people do something that seem to suggest that one is what one is fleeing from, powerlessness, unintelligence, lack of beauty, one feels angry (I once told a plain looking woman, an attorney, who is struggling to seem beautiful, that she is homely, and she exploded in anger at me, telling me how I am a stupid person…she felt that I detracted from her desire to be the most beautiful woman on earth; she would have liked it if I told lies and told her that she is Helen of Troy, the face that launched a thousand war ships).
The desire for something that compensates for ones underlying deficit motivates one and if it is threatened one feels fearful, angry, paranoid, and manic.
Gautama Buddha, 2500 years ago, recognized the power of desire in people’s lives; he noted that all human suffering is rooted in desire. He said that to overcome suffering one must give up desire.
If you suffer neurotic anxiety from desire to be superior and powerful, then give up the desire for superiority and power. If you give up that desire your mind and body would relax, and you become peaceful and happy.
Buddha was a great psychologist; he was more of a psychologist than contemporary Western psychologists who churn out useless hypotheses on mental disorders; many western psychologists cannot help themselves talk more helping their clients!
WHO DOES THE DESIRING?
Desire is the issue in delusion disorder and neurosis. But who is the person doing the desiring?
It is obvious that some force in one makes one assess oneself as weak, inferior, inadequate, and powerless and one compensates with desire for power, as Alfred Adler noted. What is the agent in one that confronts life in human body and society and feels inferior and react with restitutory desire for power?
The West is currently pretending that people are not born with a self and learn the self. There is a self that people come to the world with. That self is born in human body and the exigencies of its body makes it feel inferior; the discrimination and racism of north America makes the black child feel inferior; and such children try to compensate with either delusion disorder or neurotic delusion.
Human beings are born with a spirit that wishes to experience life in human body; when that spirit self-encounters life in body and society and feels inferior it reacts with desire for power, aka neurosis (if it believes that it has power it becomes deluded).
Less than .5 percent of the human population has delusion disorder, but up to ten percent of the human population desire power hence are neurotic or have personality disorders (paranoid, schizoid, schizotypal, narcissistic, histrionic, antisocial, borderline, avoidant, obsessive-compulsive, dependent and passive aggressive can be explained by desire for worth).
SPIRITUAL SCIENCE’S PERSPECTIVE ON DELUSION DISORDER AND NEUROSIS
One of the delusions of the West is that human beings are only their bodies; they tell us how there was a big bang, 13.8 billion years ago, and from then on, is an evolution of a light (matter) -based universe.
Lightism, not materialism, is the most appropriate name for godless West’s philosophy, for everything is made from light; matter is formed from light; materialism is a nineteenth century philosophy; the right philosophy of today is Lightism, given that light transformed itself to all things, from stars to planets, to plants and animals.
The contemporary West see people as the product of the world they live in. Sixty-four chemical elements (such as carbon, hydrogen, oxygen, nitrogen, potassium, magnesium, calcium, iron, phosphor, sulfur, sodium etc.) in the waters were struck by lightning and that heat combined them into molecules that eventually formed proteins, amino acids and that formed cells and cells evolved to plants and animals and over 3.5 billion years later formed into human beings.
There is no doubt that the human body was produced through evolution. The real question is what produced the evolution.
What existed before the Big Bang, what produced the initial physical light and used it to form electrons, quarks, and combined quarks to protons and neutrons and combined those to nuclei and combined nuclei and electrons to form atoms and made a bunch of hydrogen atoms clump together and had gravity act on them to form helium hence form stars and light is released; what made huge stars exhaust their hydrogen and fuse other elements until they got to iron, expand and explode in supernova, and from their debris form medium sized stars and planets, asteroids and comets; what made comets become frozen with water in space and bring that water to cool the hot earth, and form oceans and in the water of those oceans combine elements to form biological life and when biological life got to human level begin operating from it as human beings?
UNION AND SEPARATION
Let me simply state the truth as I see it. Human beings are parts of an intelligence force that is not in body. We may call that intelligence force God.
God is oneself that has infinite units, infinite sons. God and his infinite sons, wave of light and its infinite particles, are unified.
At some point, that has not occurred (for right now we are still all part of God), the sons of God desired to be individually more powerful than God; the part wants to be more powerful than the whole, an impossibility.
Unable to realize their desire in unified state, the sons of God, as it were, went to sleep and dream. In their dream they projected out a separated universe and gradually evolved light into matter and our universe, and about 100, 000 years ago, they began pretending to live in bodies hence the human drama.
The point here is that there is a force that is not of matter, space, and time in us.
INFERIORITY AND FALSE SUPERIORITY
When the nonmaterial life force enters the human body it feels constricted, small, and inferior and incomplete and compensates with a desire to seem powerful; to feel as powerful as it did before it entered matter.
The sense of inferiority in matter is compounded if the child is born in a problematic body or lives in racist America.
In formless, unified spiritual light, heaven we had total power but in body, matter we feel utterly powerless and begin the business of trying to seem powerful inside body, hence develop either neurosis or psychosis.
Normal persons feel powerless and accept it and do not pretend to be powerful; in neurosis folks feel powerless and try to seem powerful but know that they are not powerful; in psychosis folks feel powerless and pretend that they are their compensatory powerful self; they are not powerful.
THERE IS A FORCE THAT TRANSCENDS MATTER IN PEOPLE
There is a self that transcends matter in people. To heal neurosis, personality disorders delusion disorder, depression, mania, schizophrenia, and all mental disorders you must ask folks to give up their quest for a powerful self and accept that the powerful self is a chimera, is false and cannot be true. People must accept powerlessness.
Accepting powerlessness, aka egolessness is the beginning point of healing. Thereafter, you teach people to meditate (and have some philosophy and or religion).
In meditation people make their minds empty of ego self; they give up desire. If the mind is cleaned of all human constructed selves what happens is that one experiences different selves; first, the self in light form, this self is still one’s self as one is in one’s body but now is a self-in-light form, in a world of people, animals, trees everything on earth but now in light forms; ultimately, one transcends forms, matter based, or light- based form and reaches one’s true self.
The human real self is part of formless, unified self, oneself that is simultaneously infinite selves. Our true self is the sons of God, particles of a wave of spiritual light, units of universal intelligence.
I have written at length about the unified spirt self and am not going to rehash it here. What is salient is that to heal neurosis, personality disorders, psychosis one must give up all desire for the big, powerful self and initially live with egolessness.
If you can live without a big ego self for a month you will be surprised to discover that you have another self, a self in light form and, ultimately, discover that you have a formless self (spiritual light).
Our true self is a joined self, a connected self, a unified self. On earth we seem separated from each other, although a false dream, it is the source of our mental disorders.
To heal delusion disorder and all mental disorders, folks must return to the awareness of their real selves, the sons of God, the parts of the whole; our real selves are connected selves.
A form of religion and or spirituality is necessary to help people heal their mental disorders.
To heal is to return to the awareness of our connected self.
The earth is a delusional system where we believe a world that is not there as there and see what are not there to be there.
On earth we have delusion and hallucination hence are insane; sanity lies in returning to the awareness of the non- perceptual unified world of God.
Healing means returning to the awareness that one is part of a joined self, a unified self, a connected self (we are always in union but forget it and dream separation), which is a spiritual self, for only the formless can really join.
In America, the children of the rich go to secular psychotherapists for years and are not healed of their neurosis; later, they discover spirituality and with it they try to heal themselves. The problem is that they have not been given a systematized spirituality that could heal them.
Helen Schucman’s poem, A course in miracles, if it can be lived, can return people to union, God. It emphasized forgiveness.
Whereas we need to forgive minor issues, however, if you forgive all evils you exit from this world; her solution is like throwing the baby out with the bathwater; sometimes, we need to punish evil people.
For example, if you allowed white racists to discriminate against black people and forgive them, you are only prolonging racism and the warping of the human self that is racists.
Buddhism and Hinduism, shorn of gods, heals people; Gnosticism heals people, but ultimately only spiritual science heals people.
Spiritual science combines scientific psychology and spiritual psychology, as I did in this brief paper.
Ozodi Osuji, PhD
March 22, 2021
Below is information from psych-central on Delusional Disorder and its Treatment
Delusional disorder is relatively rare—affecting 0.2 percent of the population, according to the DSM-5. Individuals diagnosed with delusional disorder have one or more delusions for at least one month. These fixed, false beliefs typically concern situations that can occur in real life (though there is a specification in the DSM-5 for bizarre content).
For instance, individuals might think someone is trying to poison them or they are suffering from a serious medical condition or their coworker is in love with them. The most common delusion is persecutory, where individuals believe that someone is spying on them, following them, or trying to harm them (or their loved one).
Individuals with delusional disorder are not functionally impaired, and their actions do not appear bizarre or strange. In other words, aside from the delusion (and associated behavior), the person appears normal.
Delusional disorder is challenging to treat because individuals typically lack insight into their illness. That is, they do not think they are sick, so they seldom seek help or want treatment.
However, there are effective ways to treat this condition. Both medication and psychotherapy are valuable interventions. It is common for delusional disorder to co-occur with other conditions, particularly depression and anxiety, so it is critical for treatment to address these concerns, as well.
There’s limited research on psychotherapy for delusional disorder. Also, because individuals honestly believe their delusions, it is difficult to engage them in psychotherapy. Various resources have highlighted the challenges of establishing a therapeutic alliance between client and clinician.
In other words, individuals with delusional disorder often do not trust therapists, so it is tough to establish a positive, secure relationship.
Still, psychotherapy is valuable for treating delusional disorder—and is especially important because medication does not decrease delusions for everyone. Cognitive behavioral therapy (CBT) seems to be the best studied intervention—and has explored everything from worry to sleep issues in individuals with delusions.
For instance, according to a 2015 article in The Lancet, an 8-week CBT intervention decreased worry and persecutory delusions, results that were maintained at follow up (24 weeks later).
Some research has found that reasoning biases—such as jumping to conclusions and belief inflexibility–may spark and perpetuate delusions (such as paranoia). Consequently, treatments are being developed to target these areas and appear to be promising. For instance, SlowMo is a digital therapy that helps individuals decelerate their thinking.
Metacognitive training (MCT) is another promising intervention that addresses reasoning biases and challenges the content of delusional beliefs. Both group and individual versions have been developed. According to a 2017 randomized controlled trial on individualized MCT, “Its main goal is to highlight the fallibility of cognition in general and encourage patients to reflect on their own thinking styles in relation to symptoms, but also to everyday life.”
CBT for psychosis (CBTp) is a collaborative, evidence-based therapy for schizophrenia, which treats delusions. According to Psychiatric Times, it includes using empathy and curiosity to explore how individuals are coping with their beliefs; identifying the origin of the delusion; and suggesting individuals pinpoint the benefits and downsides of their delusion and evaluate the evidence for and against their delusion. A 2019 review noted that “It is geared towards achieving the person’s personal valued goal(s), with paramount importance being given to the therapeutic relationship and empowerment, maintaining the person’s self-esteem, and providing hope.”
Therapy also can focus on other symptoms and concerns that are interfering with the person’s life. For example, high rates of insomnia are found in individuals with persecutory delusions, and preliminary research has found that CBT for insomnia was effective.
The evidence on effective medications for delusional disorder is scarce. Currently, there are no randomized clinical trials, the gold standard for research. Available evidence consists of case reports, case series, and observational studies.
According to these sources, the first-line pharmacological treatment is antipsychotic medication. This includes both first- and second-generation antipsychotics (also known as typical and atypical antipsychotics). Some research suggests that first-generation antipsychotics are more effective than second-generation antipsychotics, while other research finds no difference.
Today, second-generation drugs are more commonly prescribed because their side effects tend to be more tolerable.
Delusions do not completely vanish with medication. According to UpToDate.com, “In our clinical experience, treatment of delusional disorder with antipsychotic medication does not result in the disappearance of delusions; rather, they become less important to the patient, or more tentatively accepted as true, permitting other more normal life pursuits to proceed.”
According to a 2015 article, when medication is prescribed, it is vital to consider the person’s age, presence of co-occurring conditions, and drug interactions. For instance, the authors note that the typical antipsychotic pimozide (Orap), which used to be a first-line medication, might be best for younger individuals at a low dose, who are not taking any other medication, and receive QTc monitoring. An electrocardiogram is required before taking this medication. Pimozide is known to increase QT interval, which can increase cardiovascular risk, which is why it is no longer considered a first-line treatment.
UpToDate.com noted that antipsychotic medication with the least number of side effects should be used, such as aripiprazole (Abilify) or ziprasidone (Geodon). Also, medication should be started at a low dose and increased gradually over several days or weeks to make sure it is tolerable to the person.
It is common for individuals with delusional disorder to take more than one medication. Typically, individuals take an antipsychotic drug along with an antidepressant.
Antidepressants may be prescribed to treat depression or anxiety. Some older case reports also found that selective serotonin reuptake inhibitors (SSRIs) and the tricyclic antidepressant clomipramine (Anafranil) may successfully treat somatic delusions.
Strategies for Loved Ones
• Work with a specialist. One of the best things you can do is to see a therapist who specializes in treating individuals with psychotic disorders to learn how to successfully support your loved one. You might learn how to talk to your loved one when they bring up their delusion, encourage them to seek help, and/or encourage them to take their medication. (Unfortunately, individuals with delusional disorder tend to be hesitant about taking medication.)
• Learn as much as you can. Become an expert on delusional disorder. For example, check out this piece on Psych Central, which features 10 helpful strategies for helping someone who’s struggling with delusional thoughts, including expressing empathy, offering to seek therapy together, learning about cognitive distortions, and modeling reality testing. This piece on the National Alliance on Mental Illness, written by a woman who recovered from psychosis, also includes valuable tips on helping a loved one. This articulate piece is written by a man who’s been diagnosed with delusional disorder.
• Seek out support. For instance, the Schizophrenia and Related Disorders Alliance of America (SARDAA) offers a family and friends support group every Tuesday at 7 p.m. EST., which you can access over the phone (and includes other resources). Schizophrenia.com offers online forums for family and friends.
Many Nigerians have delusion disorder; if you are such a Nigerian, or any other person, the below write up might help you.