Sunday, July 12, 2020

Ideas and Delusions of Reference in Bipolar Disorder

Ideas and Delusions of Reference in Bipolar Disorder Bipolar Disorder Symptoms Print Ideas and Delusions of Reference in Bipolar Disorder By Marcia Purse Marcia Purse is a mental health writer and bipolar disorder advocate who brings strong research skills and personal experiences to her writing. Learn about our editorial policy Marcia Purse Medically reviewed by Medically reviewed by Daniel B. Block, MD on January 30, 2020 twitter linkedin Daniel B. Block, MD, is an award-winning, board-certified psychiatrist who operates a private practice in Pennsylvania. Learn about our Medical Review Board Daniel B. Block, MD Updated on February 01, 2020 Bipolar Disorder Overview Symptoms & Diagnosis Causes Treatment Living With In Children Your Rights Stanislaw Pytel / Getty Images In people with bipolar disorder, mania and hypomania can comprise various symptoms, from reckless spending to sexual promiscuity. In addition, some more subtle symptoms may also occur, such as the belief held by some patients  that everything occurring around them is related somehow to them when in fact it isnt.?? This symptom is known as ideas of reference. An extension of those irrational beliefs, delusions of reference, can cause patients to change their behavior significantly because of this mistaken belief. These two symptomsâ€"ideas of reference and delusions of referenceâ€"can affect people in very different ways. For example, a man might believe that secret messages about him are broadcast in a weekly television show, to the point where he records the programs and watches them again and again. Meanwhile, a woman might be convinced that all the notices posted on boards outside churches are aimed directly at her, which frightens her so much that she refuses to leave the house. Ideas of Reference vs. Delusions of Reference Some clinicians and researchers use the terms ideas of reference and delusions of reference interchangeably. Other sources differentiate between the two, saying that ideas of reference have less impact on the persons life as a whole. Whereas ideas of reference are real events that are internalized personally, delusions of reference are not based in reality. However, ideas of reference may act as a precursor to delusions of reference.   Many people will experience passing thoughts or ideas of reference. For example, you go to a party and just for a minute honestly believe everyone is whispering about you. This is within the scope of normal human behavior unless it happens to you constantly. Its when these thoughts cross the line outside of actual facts or events (when you believe people you dont even know are whispering about you, and you proceed to hide out at home because of this) that the thoughts turn into delusions. The 3 Criteria for Delusion Karl Jaspers, a German-Swiss psychiatrist, described the main criteria for a true delusion in a groundbreaking 1913 book, General Psychology??. They include: Certainty (the person is convinced the delusion is real).Incorrigibility (the person cannot be convinced otherwise or have the belief shaken in any way).Impossibility (the delusion is bizarre and not real at all). Some people have only occasional, random delusions of reference, while others have them all the time. If delusional thoughts occur for more than one month and they involve events that actually could happen (such as being followed, infected with a disease, or loved at a distance), delusional disorder is the diagnosis. The Diagnostic and Statistical Manual of Mental Disorders (DSMâ€"5) clarifies the criteria for delusional disorder, which may appear in people with Bipolar disorder. Specifically, the DSM-5 specifies that those with the disorder may have nonbizarre delusions, meaning what you’re imagining is happening could really happen (such as being followed).?? The key difference between delusions of reference and delusional disorder is delusions of reference are most definitely not real while the thoughts in delusional disorder could possibly be real (although theyre quite unlikely). Other Types of Delusions Bizarre delusions have no possibility or basis to happen in reality.Delusions of control mean that a patients thoughts, feelings, and actions are not his or her own, but instead originate from some external force or person.Depressive delusions are marked by a predominant depressive mood. These might include delusions involving a serious illness, poverty or spousal infidelity. Treatment Antipsychotic medications can help with delusions of reference, as can counseling and psychotherapy. Cognitive behavioral therapy is used to help people reframe their thoughts and explore logical explanations for their line of thinking. Find Help With the 9 Best Online Therapy Programs

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