Delusion is a condition where a person cannot distinguish between fantasy and reality. People who experience delusions believe in false and unproven facts. This condition is often considered the same as hallucinations, but both actually have fundamental differences. Check out the following review to understand the difference between delusions and hallucinations.
Delusions vs hallucinations
Delusions and hallucinations are often considered the same. Both are delusions that arise in a psychotic state in which an individual is unable to discriminate between reality and fantasy. However, there is a distinction between delusions and hallucinations. The basic difference between hallucinations and delusions is that delusions are disorders of thought processes or cognitive abilities, while hallucinations are disorders of sensory issues.
Delusions
Delusions are conditions where a person believes something that is false. Individuals suffering from delusions are unable to change their beliefs despite being exposed to contradicting facts because their thinking is compromised. This belief is unrelated to the individual's intelligence or background in terms of culture or religion.
Some types of delusions include:
- Erotomania: The belief that one is romantically involved with an important or famous person
- Grandiose: Belief that they are an important person with knowledge, prestige and power
- Jealousy: Believing that one's partner is unfaithful despite not being able to prove this belief
- Persecution: Believing someone is planning to harm or mistreat them
- Somatic: Believing that they are experiencing health problems
- Mixed: Having two or more types of delusional disorder
Hallucinations
If delusions are thinking disorders, then hallucinations are disorders of sensory reception from the five senses. There are some common types of hallucinations, like those that occur when you wake up or fall asleep. However, in severe cases, hallucinations may indicate dementia or schizophrenia.
Hallucinations are false perceptions of objects or events involving the senses: sight, sound, smell, touch, and taste. You might, for instance, believe that you smell certain smells, feel insects walking across your hands, or hear whispers or voices. Whatever causes a hallucination—a chemical reaction or an abnormality in the brain—it always feels real when it isn't.
Management of delusions and hallucinations
The course of treatment for delusions and hallucinations can change based on the severity and underlying cause. Treatments for delusions and hallucinations generally include the following:
- Antipsychotic medication
Antipsychotic medications help reduce the symptoms of delusions and hallucinations. These medications work by inhibiting the effects of dopamine in the brain, allowing the user to differentiate between reality and illusion. - Psychotherapy
Psychotherapies such as cognitive behavioral therapy (CBT) help patients retrain their minds to distinguish between reality and illusion. Additionally, it can assist patients in managing their responses, hallucinations, and delusional symptoms. For example, patients can be taught that the voices they are hearing are probably just in their heads if nobody else reports hearing them. - Hospitalization
Doctors may advise hospitalization for patients who go through severe psychotic episodes that put them in danger of hurting themselves or others until their condition improves. - Rehabilitation
Delusions and hallucinations are examples of psychotic symptoms. Individuals experiencing these symptoms can seek therapy or rehabilitation where they can interact with others who suffer from related conditions.
Those with delusional and hallucinatory disorders share the initial characteristic of being unable to discriminate between reality and fantasy. However, the causes of both are actually different. If you know someone who exhibits signs of delusions and hallucinations, get in touch with a specialist.
If you need medical advice or consultation, you can either visit a doctor or make use of the consultation features that are available in the Ai Care application by downloading the Ai Care application from the App Store or Play Store.
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- dr. Monica Salim
Gupta, S. (2022). Delusions vs. Hallucinations: What Are the Differences?. Available from: https://www.verywellmind.com/delusions-vs-hallucinations-types-causes-diagnosis-and-treatment-5270271#
Herndon, J. (2021). Understanding the Difference Between Hallucinations and Delusions. Available from: https://www.healthline.com/health/mental-health/hallucinations-vs-delusions
Sachdev, P. (2024). Delusional Disorder: Types, Symptoms, and Treatment. Available from: https://www.webmd.com/schizophrenia/delusional-disorder
Cleveland Clinic. Hallucinations. Available from: https://my.clevelandclinic.org/health/symptoms/23350-hallucinations