Diagnosis and Medication Guidance for Delusional Disorder - Psychiatry

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Understanding delusional disorder and its treatment can be quite complex, especially when navigating the nuances of diagnosis and medication. Delusional disorder, characterized by the presence of one or more delusions that persist for at least one month, can often lead to confusion and anxiety for those diagnosed, particularly when the individual feels disconnected from the label assigned to them.

In your case, it seems you are experiencing significant distress regarding your diagnosis of delusional disorder, especially since you identify as a very realistic person. This disconnect between self-perception and diagnosis can understandably lead to feelings of anxiety and confusion. It's important to remember that mental health diagnoses are often based on a combination of symptoms, history, and clinical judgment, and they can sometimes feel misaligned with an individual's self-experience.

Your current medication regimen includes lithium, which is commonly used for mood stabilization, particularly in bipolar disorder, as well as other medications like Luful (likely an antidepressant or mood stabilizer) and a medication for anxiety or agitation. The monthly injection of Aripiprazole (likely what you meant by "安利復美達") is an atypical antipsychotic that can help manage symptoms of psychosis and mood disorders.
It's crucial to communicate openly with your psychiatrist about your concerns regarding your diagnosis and treatment plan. If you feel uncomfortable or hesitant to ask questions, it might be beneficial to prepare a list of questions or concerns before your appointment. This can help facilitate a more productive conversation. For instance, you might ask about the rationale behind your diagnosis, how it relates to your previous diagnosis of depression, and what the specific goals of your current medication regimen are.

Regarding your symptoms of restlessness and anxiety, it’s not uncommon for individuals on certain psychiatric medications to experience side effects such as akathisia (a feeling of inner restlessness). If this is a significant issue for you, it’s important to bring it up with your doctor, as they may need to adjust your medications or add another medication to help manage these symptoms.

In terms of alternative medications or combinations, it’s essential to work closely with your psychiatrist. They may consider adjusting your current medications or exploring other options that could be more effective for your specific symptoms while minimizing side effects like constipation and weight gain. For example, some individuals find that certain atypical antipsychotics have a more favorable side effect profile, and there are also adjunctive treatments available that can help manage anxiety and mood symptoms.

Lastly, consider the importance of therapy in conjunction with medication. Cognitive-behavioral therapy (CBT) can be particularly effective for managing anxiety and depressive symptoms, and it may also help you process your feelings about your diagnosis and treatment. Engaging in therapy can provide you with tools to cope with stress and anxiety, and it can also create a safe space for you to explore your thoughts and feelings about your mental health.

In summary, navigating a diagnosis of delusional disorder can be challenging, especially when it feels misaligned with your self-perception. Open communication with your psychiatrist is key, and exploring therapy as a complementary treatment may also provide additional support. Remember that mental health treatment is often a process of trial and adjustment, and finding the right combination of therapies and medications can take time.