How to treat paranoid ideation and what medication to take

The main treatment methods for paranoid ideation include psychological therapy, medication therapy, social support intervention, life adjustment, physical therapy, etc. Common medications include risperidone tablets, olanzapine tablets, quetiapine tablets, aripiprazole tablets, clozapine tablets, etc. Delusions of persecution belong to the spectrum disorder of schizophrenia, and patients need to undergo systematic treatment under the guidance of a psychiatrist.

1. Psychotherapy

Cognitive behavioral therapy is the core method for treating paranoid ideation, which helps patients identify and change distorted cognitive patterns, gradually establishing their ability to test reality. Supportive psychotherapy can alleviate patients' anxiety, while family therapy can improve communication patterns among family members. The treatment cycle usually takes several months to years and requires regular follow-up visits.

2. Drug therapy

Risperidone tablets, as a second-generation antipsychotic drug, can effectively improve delusional symptoms and agitation behavior. Olanzapine tablets have a regulatory effect on both positive and negative symptoms, but metabolic indicators need to be monitored. Quetiapine tablets are suitable for patients with sleep disorders, while aripiprazole tablets have a lower probability of inducing extrapyramidal reactions. Clozapine tablets are commonly used for refractory cases, and regular blood routine checks are required during use.

3. Social Support Intervention

Community mental rehabilitation services can help patients rebuild their social function, and vocational training can enhance their employability. Joining a mutual aid group can help alleviate feelings of shame, and the case management model can provide ongoing support. Family members need to receive education on disease knowledge, learn skills to deal with sudden symptoms, and establish a stable family support system.

4. Life Adjustment

Maintaining a regular schedule can help stabilize emotions, and moderate daily exercise can alleviate medication side effects. Avoid consuming caffeinated beverages, quit smoking and limit alcohol intake to reduce the risk of symptom relapse. Developing hobbies such as painting and music can divert attention from delusional content. Establish a symptom diary to record changes in the condition and provide reference for doctors to adjust treatment plans.

5. Physical therapy

Repetitive transcranial magnetic stimulation may be effective for some refractory delusional symptoms and should be used in conjunction with medication. Electroconvulsive therapy is suitable for situations with acute and severe attacks accompanied by a risk of suicide. Biofeedback therapy can help patients learn emotional regulation skills, while phototherapy can improve accompanying circadian rhythm disorders. These treatments must be carried out by physicians in professional institutions.

Patients with paranoid ideation need long-term maintenance treatment, regular follow-up of blood drug concentration and liver and kidney function. It is advisable to choose foods rich in omega-3 fatty acids, such as deep-sea fish and walnuts, and supplement B vitamins in moderation. Avoid going out alone or in confined spaces, and carry an emergency contact card with you. Family members should take good care of the medication and supervise its use, paying attention to any signs of fluctuations in the condition. Establish a regular rehabilitation plan, gradually restore social function, and if necessary, apply for disability assessment to obtain policy support.