Delusions

Delusions are strong beliefs that aren’t based in reality and can be a sign of a serious mental health condition. They can affect how a person thinks, feels, and interacts with others. In this Q&A, we answer common questions about what delusions are, what causes them, and how Jehovah’s Behavioral Care can help individuals find stability and support.

Q: What exactly is a delusion?

A: A delusion is a deeply held belief that isn't based in reality, even when there's clear evidence that it’s untrue. People experiencing delusions often feel completely convinced by their beliefs, no matter how unusual or irrational they may seem to others. These thoughts are not simply misunderstandings — they are part of a mental health condition and require professional care.

Q: What are some common examples of delusions?

A: Delusions can take many forms. Here are a few common types:

• Persecutory delusions: Believing others are out to harm you, spy on you, or plot against you.
• Grandiose delusions: Believing you have special powers, status, or abilities — such as being a celebrity, religious figure, or genius.
• Somatic delusions: Believing something is wrong with your body, like having a disease or infestation, even after medical tests show you're healthy.
• Jealous delusions: Believing your partner is unfaithful without any real evidence.

Q: What causes delusions?

A: Delusions are usually linked to underlying mental health disorders such as schizophrenia, schizoaffective disorder, bipolar disorder (especially during manic episodes), or delusional disorder. In some cases, severe stress, trauma, or substance use may also contribute to delusional thinking. It’s not caused by “weakness” or a lack of intelligence — it's a medical issue that needs treatment, just like any physical illness.

Q: How do I know if someone I care about is experiencing delusions?

A: It can be difficult to tell, especially if the person is private or avoids discussing their thoughts. However, signs may include:

• Holding strong beliefs that don’t make logical sense
• Becoming suspicious of others without cause
• Acting in ways that don’t align with reality (e.g., refusing food for fear of poisoning)
• Isolating from friends or family
• Becoming emotionally distressed when their belief is challenged

If you're concerned, it's okay to reach out for professional advice. At Jehovah’s Behavioral Care, we can help guide you through what steps to take.

Q: Can delusions be treated?

A: Yes, delusions can be treated — and many people experience significant relief with proper care. Treatment usually involves a combination of:

• Medication (typically antipsychotics)
• Therapy (especially cognitive behavioral therapy, or CBT)
• Supportive care (family education, group therapy, case management)

At Jehovah’s Behavioral Care, we create a personalized treatment plan that focuses on safety, understanding, and long-term wellness.

Q: What should I do if someone refuses help because of their delusions?

A: This is a common and very challenging situation. People experiencing delusions often don't believe anything is wrong. In those cases, you can:

• Speak calmly and non-judgmentally
• Avoid arguing about their belief
• Focus on how their behavior is affecting their life (e.g., lost job, isolation, distress)
• Encourage them to meet with a professional “just to talk” — not necessarily for treatment

If there’s a safety risk, call a mental health crisis team or seek emergency help. At Jehovah’s Behavioral Care, we offer crisis stabilization options to keep individuals safe and supported during these critical moments.

Q: How can Jehovah’s Behavioral Care support someone with delusions?

A: We offer a full range of services, including:

• Psychiatric evaluations to understand the person’s symptoms and needs
• Medication management for delusional thinking and related conditions
• Crisis stabilization, both inpatient and outpatient

Our goal is to meet every person with compassion and care, while working toward recovery and stability

Q: Can someone live a normal life after experiencing delusions?

A: Yes, with the right treatment and support, many people go on to lead meaningful, stable lives. Recovery takes time and patience, but we’ve seen countless individuals regain clarity, rebuild relationships, and rediscover joy in daily living. At Jehovah’s Behavioral Care, we walk with each person every step of the way — because healing is possible.