Grandiose delusions are beliefs a person holds that would mean he or she is somehow better or more important than anybody else, where in reality it isn’t true. Many different types of grandiose delusions exist, and despite their diversity, they all stem from dissociation with reality. A man could have grandiose delusions, for example, if he believes that other people talk about or pay special attention to him. This belief could be related to an inability to interpret social signals correctly, or it could be massively delusional — for example, if he believes he holds some mystical power over others.
Often, grandiose delusions could be a symptom of a wider psychotic disorder like schizophrenia or bi-polar disorder. Stompe and colleagues (2006) found that grandiose delusions appeared more commonly in patients with bipolar disorder (59%) than in patients with schizophrenia (49%), followed by presence in substance misuse disorder patients (30%) and depressed patients (21%). A relationship has been claimed between the age of onset of bipolar disorder and the occurrence of GDs. According to Carlson et al. 2000), grandiose delusions appeared in 74% of the patients who were 21 or lower at the time of the onset, while they occurred only in 40% of individuals 30 years or older at the time of the onset. According to the DSM-IV-TR diagnostic criteria for delusional disorder, grandiose type symptoms include grossly exaggerated belief of: * self-worth * power * knowledge * identity * Or exceptional relationship to a divinity or famous person. For example, a person may believe they are God, an important politician, a rock star, a scientist etc. nd will believe that they hold strong authority or power on the people around them and sometimes even entire countries [e. g. they believe they are the president of a country. ] Delusions of grandeur can be a symptom of a number of different psychological conditions. It is also referred to as megalomania and s frequently associated with narcissistic personality disorder, a condition in which a person is extremely preoccupied with themself and has overblown feelings of self-importance.
These delusions are also sometimes found in patients with varying degrees of dementia and psychotic or depressive disorders, such as bipolar disorder and schizophrenia. In some cases, delusions of grandeur are accompanied by other delusions, including those of persecution, in which the patient thinks others are out to get him, and of control, in which the patient believes an outside force is controlling his thoughts or actions. Some drugs, especially phencyclidine (PCP) and amphetamines, may also contribute to episodes of delusions of grandeur.
This is especially dangerous because users who are high may believe they have powers that will enable them to perform dangerous feats that a normal human being could not, such as flying off a tall building or stopping an oncoming train with one hand. In such cases, delusions of grandeur could result in serious injuries or even death. Treatment of delusions depends upon the underlying cause. It is important for practitioners to differentiate between delusions of grandeur and simple hopes for the future. A person, for example, who wants to be President one day, is likely not experiencing a delusion of grandeur.
A combination of talk therapy and medication can be helpful in treating delusions of grandeur. Depending upon the delusion’s cause, antidepressants, anti-anxiety medications, and/or antipsychotic medications may be prescribed. The most effective treatment would be the use of Risperidone however some recorded side effects would be vertigo, tremors, constipation, torticollis, the sensation of having ‘pins and needles’, blepharospasm, flushing, severe coughing, burning sensations during urination etc. Such side effects may not allow a person diagnosed with delusions of grandeur to lead a normal life nor a smooth recovery.