Paranoia can be improved through medication, psychological therapy, social support intervention, life adjustment, crisis intervention, and other methods. Delusions of persecution belong to the spectrum disorder of schizophrenia, and patients often exhibit unfounded beliefs about persecution, requiring comprehensive intervention.

1. Drug therapy
Antipsychotic drugs are the core of treatment, olanzapine can alleviate symptoms of hallucinations and delusions, risperidone can improve thinking disorders, and quetiapine has a regulatory effect on emotional symptoms. The medication should be used continuously for several months or more, with regular follow-up visits to evaluate its efficacy. Some patients may experience extrapyramidal reactions and require symptomatic treatment with drugs such as benzoxetine.
2. Psychotherapy
Cognitive behavioral therapy helps patients identify differences between delusional content and reality, and correct erroneous cognition through reality testing techniques. Supportive psychotherapy establishes trust relationships and reduces feelings of shame. Family therapy guides family members to use non critical communication methods to avoid reinforcing the patient's sense of victimization.
3. Social Support Intervention
Community mental health services provide regular follow-up to assist in solving life difficulties. Vocational rehabilitation training helps restore social function and peer support groups reduce feelings of isolation. Establish a multi departmental collaborative network to implement case management for high-risk patients.

4. Life Adjustment
Maintaining a regular schedule can help stabilize emotions, and moderate daily exercise can reduce anxiety levels. Avoid consuming stimulating substances such as caffeine and have a balanced diet to supplement with B vitamins. Improve attention control ability through mindfulness meditation training.
5. Crisis intervention
requires timely hospitalization and short-term use of haloperidol to rapidly control symptoms in individuals with a tendency to self harm or injure others. Set up a 24-hour hotline and develop emergency plans to handle unexpected situations. After the acute phase, it is necessary to gradually transition to community rehabilitation.

Persecutive delusions require long-term comprehensive management, and family members should learn about the disease to avoid blame. Maintain a quiet and simple home environment, regularly accompany follow-up visits to adjust treatment plans. Encourage patients to respect their psychological boundaries when participating in group activities, and try non-verbal expressions such as art therapy during the rehabilitation period. Pay attention to the side effects of medication and seek medical attention promptly if there are reactions such as muscle tone disorders. Establish a regular lifestyle rhythm to avoid excessive stimulation that can trigger fluctuations in symptoms.
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