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Understanding How Delusions Work: The Basics Explained

Delusions photoWould you know what to say to someone who suffered from delusional thoughts?

Do you have a loved one who suffers from psychosis?

Managing a relationship with someone who has delusional thoughts or psychotic symptoms can seem impossible. The misrepresentation, the delusional beliefs, the labile moods, the racing thoughts, the assumptions, and many of the other complicated symptoms can truly break apart a relationship.

In this brief review,  I discuss the basics of psychotic disorders, primarily schizophrenia.

In the past 12 years of my career as a psychotherapist I have treated at least 4 individuals with severe psychosis. With the help of colleagues, consultation, continuing education, and further training, I was able to manage the most complex symptoms such as the delusional thoughts and impulses that often cannot be managed with medication and counseling alone.

Individuals with delusional beliefs often get overlooked in clinical settings as well as in society because delusional beliefs aren’t always psychotic. They are also not always easily noticed. Someone can have the delusional thought that there is an underlying reason for an increase in Corona cases which prompts them to refuse to leave the house. What is complicated about this delusional belief is that most people wouldn’t consider this delusional belief bizarre or “abnormal” because, after all, we are in a pandemic. Family members may not look too closely into this belief either because, again, we’re in the middle of a pandemic.

But upon closer inspection one may come to realize that this belief is fraught with bizarre beliefs that the Corona virus is actually a nuclear chemical that has been dispersed in the air. The belief could include other beliefs that it is important for this individual to stay in the house because as soon as they step out of the house they will get Corona virus.

Managing a loved one with delusional thoughts can seem impossible if the above is an ongoing delusion that cannot be reasoned away.


To learn more about delusional thoughts (and the often accompanying hallucinations), click here:

Understanding How Delusions Work: The Basics Explained

Támara Hill, MS, NCC, CCTP, LPC

Támara Hill, MS, NCC, CCTP, LPC, is a licensed therapist and internationally certified trauma professional, in private practice, who specializes in working with children and adolescents who suffer from mood disorders, trauma, and disruptive behavioral disorders. She also provides international consultations and works with some young and older adults struggling with grief & loss or life transitions. Hill strives to help clients to realize and actualize their strengths in their home environments and in their relationships within the community. She credits her career passion to a “divine calling” and is internationally recognized for corresponding literary works as well as appearances on radio and other media platforms. She is an author, family consultant, Keynote speaker, and founder of Anchored Child & Family Counseling. Visit her at Anchored-In-Knowledge or Twitter and Youtube Youtube If you are interested in scheduling a telehealth family consultation, feel free to let me know. *Ms. Hill has moved all content to her other social media platforms. Take care!

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APA Reference
Hill, T. (2020). Understanding How Delusions Work: The Basics Explained. Psych Central. Retrieved on December 1, 2020, from


Last updated: 23 Aug 2020
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