How to cure paranoid ideation

Paranoia can be improved through psychological therapy, medication, social support intervention, family therapy, physical therapy, and other methods. Paranoia may be related to genetic factors, organic brain lesions, psychological trauma, schizophrenia, personality disorders, and other factors.

1. Psychotherapy

Cognitive behavioral therapy is a commonly used method to help patients identify and correct distorted perceptions of victimization. Therapists will guide patients to gradually verify the authenticity of delusional content and reduce pathological thinking through reality testing techniques. Supportive psychotherapy can establish trust relationships and alleviate patients' anxiety. Group psychotherapy can improve social functioning, but it needs to be carried out after symptoms have stabilized. The treatment cycle is usually long and requires the patient's persistent cooperation.

2. Drug therapy

Antipsychotic drugs such as olanzapine, risperidone, and quetiapine can regulate dopamine system function. Doctors will choose medication based on the characteristics of symptoms, and in severe cases, combination therapy may be necessary. Antidepressants are suitable for patients with accompanying depressive symptoms. Regular check ups of liver and kidney function and blood routine are required during medication. All medications should be used under the guidance of a psychiatrist and the dosage should not be adjusted by oneself.

3. Social support intervention

Community rehabilitation services can help patients rebuild social function, and vocational training can restore work ability. Establishing patient mutual aid groups can help reduce feelings of shame, and social worker intervention can solve practical life difficulties. It is necessary to avoid excessive protection and gradually cultivate patients' independent abilities. When the environmental pressure is too high, it may induce symptoms to recur, and it is necessary to maintain a stable pace of life.

4. Family therapy

guides family members to master correct communication skills and avoid arguing with patients about delusional content. The family environment should maintain a regular schedule and reduce the occurrence of stimulating events. Family members need to learn to identify signs of recurrence, such as sleep disorders or increased emotional fluctuations. Jointly develop crisis management plans and clarify the indications for medical treatment. Regular participation in family gatherings can alleviate caregiving pressure.

5. Physical therapy

Repetitive transcranial magnetic stimulation may be effective for some refractory cases, and the course of treatment needs to be completed in a professional institution. Electroconvulsive therapy is only used for patients at serious risk of self injury or injury. Biofeedback therapy can assist in improving anxiety symptoms. Exercise therapy such as yoga can regulate autonomic nervous system function. All physical therapies need to be combined with other intervention measures. Maintaining a regular daily routine is important for the stability of the condition, ensuring sufficient sleep every day and avoiding staying up late and excessive fatigue. Pay attention to balanced nutrition in diet and supplement B vitamins in moderation. Walking and exercise can be done, but vigorous activity should be avoided. Family members should accompany patients for regular follow-up visits and record changes in symptoms for doctors' reference. Pay attention to keeping warm in winter and strengthen disease observation during seasonal changes. Establishing a symptom diary helps doctors evaluate the effectiveness of treatment and avoid discontinuing medication on their own. The community can provide home rehabilitation guidance services and promptly contact the psychiatric emergency department in case of emergency.