What should be done for paranoid ideation

Paranoia can be intervened through psychological therapy, medication, family support, social skills training, crisis intervention, and other methods. Paranoia is usually caused by genetic factors, abnormal brain structure, psychological trauma, schizophrenia, substance abuse, and other reasons.

1. Psychotherapy

Cognitive behavioral therapy can help patients identify and correct distorted thinking patterns, and reduce the fixation of delusional beliefs through reality testing techniques. Supportive psychotherapy can establish trust relationships and alleviate patients' anxiety and fear. Group therapy can help patients learn interpersonal communication skills, but it should be done during the stable period of symptoms.

2. Drug therapy

Antipsychotic drugs such as risperidone, olanzapine, and quetiapine can regulate dopamine levels and alleviate delusional symptoms. Antidepressants are suitable for patients with accompanying depressive emotions, and attention should be paid to the metabolic syndrome that the medication may cause. Benzodiazepines can temporarily control acute anxiety attacks, but long-term use should be avoided to prevent dependence.

3. Family Support

Family members should receive disease education courses, master non critical communication skills, and avoid arguing with patients about delusional content. Establishing a regular daily routine can help stabilize patients' emotions, and stimulating factors should be reduced in the family environment. Regular participation in family therapy can improve interaction patterns among members and reduce hostile attitudes in emotional expression.

4. Social skills training

trains patients' social coping skills through role-playing, gradually improving their ability to test reality. Vocational rehabilitation training helps to restore basic job skills, but requires the selection of a low-pressure environment. Community support projects can provide structured activities, but it is necessary to prevent the mutual influence of other patient symptoms.

5. Crisis Intervention

Develop detailed emergency plans, including a list of emergency contacts and information on nearby medical institutions. When patients are at risk of self injury or injury, they should promptly contact the psychiatric emergency service. After a crisis, it is necessary to conduct an event review and adjust the treatment plan to prevent recurrence. Patients with paranoid ideation should maintain a regular daily routine and avoid consuming beverages containing caffeine or alcohol. Family members can accompany mild aerobic exercise such as walking, but should avoid crowded areas. Pay attention to supplementing foods rich in omega-3 fatty acids in diet to maintain balanced nutrition. It is recommended to have regular follow-up visits to evaluate the treatment effect and record changes in symptoms for doctors' reference. The community can provide transitional rehabilitation facilities to help patients gradually return to society, but continuous attention should be paid to their social function recovery.