I mean obviously meds are priority #1 for psychiatrists. But even them I think they have certain techniques/treatments for unique situations with patients. Like my psychiatrists a real brainiac. He really listens to you, doesn’t shut you down unless you’re hostile then he will. But mostly he will hear you and be non judge mental and he’s really smart. Well maybe they were like “let him
Believe he’s the chosen one, he’ll snap out of it eventually”. Maybe that’s delusional but once even my mom I said to a lady “did you know I’m the chosen one” and she said “I didn’t know that”. And my mom instead of telling me I wasn’t said “don’t say that in public”. I thought it was a weird thing my mom said. But a lot of things made no sense. It’s like some people approach YOUR LEVEL when you’re really psychotic even if they think on a higher level. They dumb it down for you so everything is already different when you’re psychotic because you’re hallucinating and stuff but then add in people treat you different and have weird reactions. It messed with me a lot. But there are certain things I am sure of…
Like my therapist would give no response to my major delusions. But if I said something less about myself or very unrealistic sounding she would tell me that it’s a delusion. So she wasn’t crushing my delusions but she was trying to Bring me back into reality too.
Maybe they are trying to get you to have insight on your own.
I’m sure there are different schools of thought how to deal best with a delusional patients. My Pdoc hardly engages and then plays with my meds. My therapist works on grounding me to reality, and helps me question my delusions
I think a lot of treatment is just based on how you look or present yourself, kinda like how the mods treat people or everybody seems to.
I think for me the nature of my delusion (self thing like thinking I was the messiah) and my lack of insight and level of sensitivity they figured it’d be better to just let me find it on my own. If someone was neither sensitive or lacking much insight but just had crazy ass psychotic delusions then the therapist might say “you’re delusional”. Me doctor or therapist never told me that. I was lacking insight for about 15 years I’d say , was probably the worst part of my mind. It was somewhere else. For many years my mind had great coping mechanisms of denial as well. So even if I was told something I’d probably forget it or block it out so yeah.
My doc always tries to rationalize my delusions and show me they aren’t really true.
Its unfortunate I don’t get more time with her.
So I established care with my new psychiatrist. He seems really knowledgeable. The psych evaluation was brutal though. Does anyone else feel overwhelmed by all the questions about the past, especially about like the worst times of your life? Overdoses, psychotic episodes, etc. Really specific questions about times of atrocity. I won’t go into detail. Ugh it gets me thinking about that stuff in circles all day.
So I am going to be honest with him next time if he decides to ask more about what happened in the past esp. concerning hard times. I’ve turned over a new leaf, I’m on the right track now. No sense in picking up dusty old times of no use. Hopefully it was just the eval.
But anyways, yes I think they tend to scrutinize the delusions to understand them? Or their cause. Like drugs, trauma, or pre-existing medical conditions. I am not a psychiatrist but it would certainly be an interesting profession.
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