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Open AccessReview

Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management

1
Department of Mental Health, Parc Taulí University Hospital, Autonomous University of Barcelona (UAB), I3PT. Sabadell, 08280 Barcelona, Spain
2
Department of Psychiatry, University of Toronto, Toronto, ON M5T 1R8, Canada
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(12), 4583; https://doi.org/10.3390/ijerph17124583
Received: 24 May 2020 / Revised: 17 June 2020 / Accepted: 22 June 2020 / Published: 25 June 2020
(This article belongs to the Special Issue Feature Papers in Women's Health)
Delusional disorders (DD) are difficult conditions for health professionals to treat successfully. They are also difficult for family members to bear. The aim of this narrative review is to select from the clinical literature the psychosocial interventions that appear to work best for these conditions and to see whether similar strategies can be modeled or taught to family members so that tensions at home are reduced. Because the content of men’s and women’s delusions sometimes differ, it has been suggested that optimal interventions for the two sexes may also differ. This review explores three areas: (a) specific treatments for men and women; (b) recommended psychological approaches by health professionals, especially in early encounters with patients with DD; and (c) recommended psychoeducation for families. Findings are that there is no evidence for differentiated psychosocial treatment for men and women with delusional disorder. What is recommended in the literature is to empathically elicit the details of the content of delusions, to address the accompanying emotions rather than the logic of the presented argument, to teach self-soothing techniques, and to monitor behavior with respect to its safety. These recommendations have only been validated in individual patients and families. More rigorous clinical trials need to be conducted. View Full-Text
Keywords: delusions; gender; clinical management; delusional disorder; psychosis delusions; gender; clinical management; delusional disorder; psychosis
MDPI and ACS Style

González-Rodríguez, A.; Seeman, M.V. Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management. Int. J. Environ. Res. Public Health 2020, 17, 4583. https://doi.org/10.3390/ijerph17124583

AMA Style

González-Rodríguez A, Seeman MV. Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management. International Journal of Environmental Research and Public Health. 2020; 17(12):4583. https://doi.org/10.3390/ijerph17124583

Chicago/Turabian Style

González-Rodríguez, Alexandre; Seeman, Mary V. 2020. "Addressing Delusions in Women and Men with Delusional Disorder: Key Points for Clinical Management" Int. J. Environ. Res. Public Health 17, no. 12: 4583. https://doi.org/10.3390/ijerph17124583

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Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

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