What are the types of delusions of persecution

Persecutive delusions are mainly divided into five types: relational delusions, paranoid delusions, jealous delusions, exaggerated delusions, and somatic delusions. Paranoia is a common symptom of schizophrenia, in which patients often exhibit extreme distrust of their surroundings and firmly believe that they are being persecuted or threatened.

1. Relationship Delusions

Patients with relationship delusions may believe that unrelated events in the surrounding environment are related to themselves. For example, thinking that TV programs are broadcasting special information about oneself, or that conversations with passersby are discussing oneself. This type of delusion is often accompanied by social avoidance behavior, and patients will deliberately reduce their contact with others. Early intervention can help patients establish their ability to test reality through psychological counseling, and in severe cases, they may need to cooperate with antipsychotic medication treatment.

2. Delusions of persecution

Delusions of persecution manifest as the belief that someone is trying to harm oneself, and may suspect being tracked, poisoned, or monitored. Patients will take extreme preventive measures, such as refusing to eat or installing multiple door locks. This kind of delusion often leads patients to report to the police or attack imaginary enemies. The treatment should be combined with antipsychotic drugs and cognitive-behavioral therapy to help patients distinguish between reality and delusions.

III. Jealousy Delusions

Jealousy delusions patients may suspect their partners of infidelity without reason, and may check their partners' belongings or track and monitor them. This type of delusion can easily lead to domestic violence, and patients often refuse to accept any counter evidence. Treatment should pay attention to both the psychological state of the patient and their partner, using antipsychotic drugs in conjunction with marriage counseling, and if necessary, adopting protective isolation.

Fourth, Exaggeration Delusions

Exaggeration delusions are manifested as the belief that one has a special identity or ability, such as thinking that one is a descendant of the royal family or has invented a technology that changes the world. Patients may invest their savings in unrealistic projects. The treatment needs to stabilize the patient's emotions and prevent them from making dangerous decisions through reality oriented training combined with medication therapy.

Fifth, somatic delusions

Patients with somatic delusions firmly believe that they have a serious illness or physical abnormality, and even if the medical examination is normal, they still insist on their own views. Common manifestations include the belief that internal organs are rotten or missing. These patients will seek medical attention repeatedly, and treatment requires collaboration between psychiatric departments and general hospitals, using antipsychotic drugs combined with supportive psychotherapy.

Patients with paranoid ideation need long-term standardized treatment, and their families should learn disease-related knowledge to avoid arguing with patients about delusional content. Maintaining a regular daily routine can help stabilize the condition, and relaxation exercises such as deep breathing or mindfulness meditation can be performed appropriately. Pay attention to a balanced diet and limit caffeine intake. Regular follow-up visits are important, and doctors will adjust treatment plans based on changes in symptoms. If a patient is found to have a tendency to self harm or injure others, it is necessary to immediately contact a professional institution for intervention.