The treatment of delusions requires a combination of psychological intervention and medication management, mainly including cognitive-behavioral therapy, antipsychotic drugs, family support, social skills training, hospitalization, and other methods. Fantasia may be related to genetic factors, brain damage, schizophrenia, substance abuse, severe psychological trauma, and other factors.
1. Cognitive Behavioral Therapy
Cognitive behavioral therapy reduces delusional symptoms by helping patients identify and correct distorted thinking patterns. Therapists will guide patients to distinguish between reality and fantasy, gradually establishing rational cognition of abnormal thoughts. This method is suitable for patients with mild to moderate delusions and requires long-term persistence to be effective. During the treatment process, diary recording or reality check exercises may be used.
2. Antipsychotic drugs
Common antipsychotic drugs include risperidone, olanzapine, quetiapine, etc., which can regulate dopamine levels in the brain and alleviate hallucinations and delusions. The choice of medication should be adjusted based on the type of symptoms and individual reactions, which may result in side effects such as drowsiness or metabolic abnormalities. Patients with severe acute exacerbations may require injectable medications, which can be converted to oral maintenance therapy once symptoms stabilize.
3. Family Support
Family members need to learn disease-related knowledge and avoid arguing with patients about fantasy content. Establishing a stable family environment can help reduce patient anxiety, and family members can assist in observing changes in symptoms and medication use. Regular family therapy can improve communication patterns and reduce the probability of recurrence. Special attention should be paid to avoiding extreme attitudes of overprotection or blame.
4. Social skills training
For patients whose social skills have deteriorated due to long-term illness, systematic interpersonal communication training is required. Reconstruct basic social skills through role-playing and other methods, gradually restoring work and learning abilities. Group therapy can help patients gain peer support, and the training content includes practical skills such as emotional management and stress coping. This type of training usually requires guidance from a professional rehabilitation therapist.
5. Hospitalization
Hospitalization is required when patients are at risk of self injury or serious social dysfunction. Closed wards can provide a safe environment and 24/7 medical monitoring, allowing for rapid control of acute symptoms through medication adjustments. During hospitalization, a comprehensive physiological and psychological assessment will be conducted to develop a personalized rehabilitation plan. Before discharge, it is necessary to prepare for community connection to prevent the recurrence of the condition.
Patients with delusions should maintain a regular daily routine and avoid the intake of alcohol and irritating substances. Family members should accompany regular follow-up visits and pay attention to monitoring sleep and emotional changes. During the rehabilitation period, creative activities such as painting or music can be attempted to shift attention, and low-intensity exercises such as walking can help alleviate anxiety. Pay attention to a balanced diet and supplement with vitamin B when necessary. Establishing a stable social support network is particularly important for preventing relapse, and community mental health service institutions can provide long-term follow-up management.
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