Delusional Disorders: Seeking Help for Unusual Behavior

It seems to be a case of a delusional disorder?

Hello Dr.
Ding, recently my mother's behavior has been unusual.
She has been making nonsensical statements, such as one time when she urgently called my siblings and me to say that the neighbor next door had fainted and we needed to call her husband.
When I asked her how she knew, she replied, "The little bird told me," which turned out to be untrue.
Another time, my older sister saw her talking to herself, saying, "Of course, I would do this for my children's sake..." My sister felt like she was conversing with a bird and even heard her say, "Bird, you need to leave quickly...
or you'll be discovered." When we asked Mom who the little bird was and where it was, she replied, "Don't ask, just be quiet," and then changed the subject, saying she wanted to sleep and didn't want to be disturbed.
She often makes up situations, like saying friends and family are sending her clothes to wear, and we don't know how to handle this.
Is there a similar case? What treatment options are available? We live in Qidu; could you please recommend which hospital and department we should visit? We have never encountered this before and hope to find a good hospital to treat my mother's symptoms.
Thank you for your help!

Miss Lian, 30~39 year old female. Ask Date: 2011/01/04

Dr. Ding Shuyan reply Psychiatry

Hello, your mother's condition indeed requires medical assistance.
A licensed psychiatrist is fully capable of diagnosing and treating her illness, and there is not much difference in expertise.
Therefore, it is not necessary to seek out so-called renowned doctors or prestigious hospitals.
I recommend finding a nearby hospital or one you are familiar with and scheduling an appointment with the psychiatry department.
However, it is important to be mentally prepared that this is a chronic illness, similar to hypertension or diabetes.
Even if her condition improves, it is crucial to follow the doctor's instructions and continue treatment without stopping the medication on her own; this point is very important.
Wishing your mother a speedy recovery.
Sincerely, Dr.
Ding Shuo-Yan.

Reply Date: 2011/01/04

More Info

It sounds like you are experiencing a very challenging situation with your mother, and I commend you for seeking help and understanding. Based on the behaviors you described, it seems that your mother may be exhibiting signs of a delusional disorder or possibly another psychiatric condition. Delusional disorders are characterized by the presence of one or more delusions that persist for at least one month. These delusions can involve various themes, such as paranoia, grandiosity, or even bizarre beliefs, which may not align with reality.

In your mother's case, her belief that a bird is communicating with her and her insistence on unusual explanations for her experiences could indicate a form of delusion. Additionally, her withdrawal from family interactions and her tendency to talk to herself may also suggest a deeper psychological issue. It is essential to approach this situation with care and compassion, as individuals experiencing these symptoms may not be aware of their condition and can feel threatened or confused by inquiries into their behavior.

The first step in addressing this issue is to seek a professional evaluation. I recommend that you take your mother to a psychiatrist or a mental health professional who specializes in geriatric psychiatry, as they can provide a comprehensive assessment of her mental health. In your area, you may want to consider hospitals or clinics that have a dedicated psychiatric department. You can look for facilities that offer outpatient services, as well as inpatient care if necessary.
When you visit a mental health professional, it would be helpful to provide them with detailed observations of your mother's behavior, including specific examples of her delusions and any changes in her mood or personality. This information will assist the psychiatrist in making an accurate diagnosis and developing an appropriate treatment plan.

Treatment for delusional disorders often involves a combination of psychotherapy and medication. Antipsychotic medications can be effective in reducing the intensity of delusions and improving overall functioning. Cognitive-behavioral therapy (CBT) may also be beneficial, as it can help individuals challenge and reframe their distorted beliefs. However, the willingness of the individual to engage in therapy is crucial, and sometimes, family support can play a significant role in encouraging treatment.

It is also important to consider the emotional impact this situation may have on you and your family. Caring for a loved one with a mental health condition can be stressful and overwhelming. Therefore, seeking support for yourself, whether through counseling or support groups, can be beneficial.

In conclusion, I encourage you to take action by scheduling an appointment with a mental health professional as soon as possible. Early intervention can make a significant difference in the outcome of mental health disorders. Remember to approach your mother with empathy and understanding, as she may be struggling with her reality. Your concern and proactive steps are commendable, and I wish you and your family the best in navigating this challenging situation.

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