For me delusions were believing things that were not true & being suspicious & paranoid. Like I thought my husband was trying to poison me & I was overdosing (trying to kill myself) & thought he WANTED me to kill myself.
I thought he was following me, watching me, somehow plotting against me... Abilify took that delusional thinking away. Was on Abilify for 12 yrs. but unfortunately gained 50 lbs. on it so now have high cholesterol, blood pressure & blood sugar so am on meds for them & have had to get off Abilify. Dialectical Behavioral Therapy (group/class) plus indiv. therapy is helping me a lot to keep my thoughts in control & keep me thinking rationally. Still on a bunch of meds, of course.
Haven't had an overdose in 2 1/2 yrs. & when I have paranoid thoughts I can analyze them & work through them in a few days & not let them escalate.
I think recognizes them & having insight is terribly important. I thought that my delusional thoughts were real until I got on Abilify. I couldn't shake the thoughts that my husband was "after me."
But the most important thing is to tell EVERYTHING to your mental health providers (meds provider & therapist--of course I'm assuming you trust them whole heartedly & have a collaborative relationship w/them) so they can address all your symptoms w/meds or therapy.
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