How to Treat Qi Hongli's Fantasia

The treatment of delusions requires personalized plans based on specific types and severity, usually including comprehensive methods such as psychological therapy, medication therapy, social support intervention, family therapy, physical therapy, etc. Fantasia may be caused by factors such as schizophrenia, bipolar disorder, organic brain diseases, post-traumatic stress disorder, substance abuse, etc.

1. Psychotherapy

Cognitive behavioral therapy can help patients identify and correct distorted cognitive patterns, and reduce the impact of fantasy content on life through reality testing techniques. Supportive psychotherapy can establish trust relationships and alleviate anxiety caused by fantasies. Group therapy is beneficial for improving social function, but attention should be paid to avoiding the mutual reinforcement of symptoms between patients.

2. Medication therapy

Antipsychotic drugs such as risperidone can regulate dopamine function, olanzapine is suitable for patients with emotional symptoms, and quetiapine has a better effect on sleep disordered delusions. The emotional stabilizer sodium valproate can be used for delusional symptoms related to bipolar disorder. All medications must be strictly adjusted according to medical advice, and liver and kidney function and metabolic indicators should be regularly evaluated.

3. Social Support Intervention

Community rehabilitation Program helps restore social function through vocational training, and case managers can coordinate medical resources and life support. Social skills training can improve patients' interpersonal communication skills, but attention should be paid to avoiding excessive stimulation that can cause symptom fluctuations. Establishing a crisis intervention mechanism is particularly important for preventing self harm and injuring others.

4. Family therapy

Psychological education can help family members understand the nature of the disease and reduce critical emotional expression. Communication skills training can reduce stress factors in the family environment and jointly develop symptom coping strategies. Families need to learn to identify signs of recurrence and establish a regular lifestyle supervision mechanism.

5. Physical therapy

Repetitive transcranial magnetic stimulation may be effective for certain refractory delusional symptoms and should be used in conjunction with medication. Improved electroconvulsive therapy is suitable for patients with severe suicide risk or stiff state. Light therapy can regulate perceptual disorders related to circadian rhythm disorders, but the risk of manic episodes needs to be ruled out.

Patients should maintain a regular daily routine, avoid alcohol and caffeine intake, and family members should accompany them regularly for follow-up visits. A nutritionally balanced diet helps with nerve repair, and moderate aerobic exercise can improve blood supply to the brain. It is recommended to set up a quiet and low stimulation environment at home, and important documents and dangerous items should be properly kept by guardians. Establish a symptom diary to record emotional and cognitive changes, and communicate with doctors in a timely manner to adjust treatment plans. The recovery of social functions needs to be gradual and avoid premature exposure to high-pressure workloads.