Delusions or hallucinations

Also known as Grandiosity, Hearing voices, Ideas of reference, Paranoia, Seeing things that aren't there, and Psychotic Episode

Grandiosity refers to an unrealistic sense of superiority - a sustained view of oneself as better than others that causes the narcissist to view others with disdain or as inferior - as well as to a sense of uniqueness: the belief that few others have anything in common with oneself and that one can only be understood by a few or very special people.

Source: Wikipedia

What causes it?

The most common causes of delusions or hallucinations are schizophrenia, psychotic disorder, and depression. Other possible causes, such as anxiety, are more rare.

What symptoms are related?

Within all the people who go to their doctor with delusions or hallucinations, 74% report having depressive or psychotic symptoms, 55% report having depression, and 38% report having anxiety and nervousness.


What might my doctor prescribe?

Common Tests and Procedures

Patients with delusions or hallucinations often receive hematologic tests, complete blood count, urinalysis, glucose measurement, kidney function tests, electrolytes panel, toxicology screen and psychotherapy .

Common Medications

The most commonly prescribed drugs for patients with delusions or hallucinations include risperidone, quetiapine (seroquel), haloperidol, olanzapine (zyprexa), benztropine, divalproex sodium (depakote), aripiprazole (abilify), ziprasidone (geodon), fluphenazine (prolixin), thiamine, chlorpromazine (thorazine), nicotine and paliperidone (invega) .

Risperidone
$107
(28 days)
Quetiapine (Seroquel)
$290
(28 days)
Haloperidol
$28
(28 days)
Olanzapine (Zyprexa)
$536
(28 days)
Benztropine
$8
(28 days)
Divalproex Sodium (Depakote)

Aripiprazole (Abilify)
$497
(28 days)
Ziprasidone (Geodon)
$411
(28 days)
Fluphenazine (Prolixin)
$31
(28 days)
Thiamine
$3
(28 days)
Chlorpromazine (Thorazine)
$26
(28 days)
Nicotine
$179
(21 days)
Paliperidone (Invega)
$626
(28 days)

Who is at risk?

Groups of people at highest risk for delusions or hallucinations include age 30-44 years race/ethnicity = black. On the other hand, age < 1 years almost never get delusions or hallucinations.

Age

< 1 years
0.0x
1-4 years
0.1x
5-14 years
0.4x
15-29 years
1.1x
30-44 years
1.6x
45-59 years
1.5x
60-74 years
0.6x
75+ years
0.8x

Sex

Male
1.4x
Female
0.7x

Race/Ethnicity

Black
1.8x
Hispanic
0.9x
White
0.7x
Other
1.2x
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