Delusional disorder medical therapy

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Medical Therapy

Treatment Principles of Delusional Disorder include the following:

Establish a therapeutic alliance and negotiate acceptable symptomatic treatment goals Start where "the patient is at," and offer empathy, concern, and interest in the experiences of the individual

Avoid direct confrontation of the delusional symptoms to enhance the possibility of treatment compliance and response

Consider the impact of culture for treatment planning

Use medication judiciously to target core symptoms and associated problems (eg, anger)

Use outpatient treatment unless there is potential for harm or violence

Tailor treatment strategies to the individual needs of the patient and focus on maintaining social function and improving quality of life

Recognize and treat coexisting psychiatric disorders

Inpatient hospitalization should be considered if a patient’s delusions cause him or her to be a threat to self, others, or if he or she is deemed to be gravely disabled