What Are Nihilistic Delusions?

Nihilism is a primary delusion, similar to other delusions, with delusions as the main axis. These delusions are unwavering, and patients believe that they can hardly change. Despite your many examples, patients still believe that they are unwilling to change. Patients will be convinced that the world, themselves, or something important has disappeared. Although the world is just as good and nothing has changed from the side, the patient ignores the real situation and still believes that the world has disappeared or is about to be destroyed. ^[1]

Nihilism

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Nihilism is a primary

There will be delays in movement, few movements, sad expressions, decreased appetite, and reduced sleep ^[2]

1. Persecutorytype-Believe that if you are persecuted or injured, the patient will often become extremely cautious and precautionary, and will often bring related people into the world of their delusions. ^[3]

2. Jealousytype-also known as Othellosyndrome, is a morbid type of thinking that your sexual partner is unfaithful; a sexual partner can be the same sex or the opposite sex. In most cases, this allegation is completely fictional, but sometimes sexual partners do try to be unfaithful. Interestingly, patients don't first take some methods (such as hiring a private detective or installing a camcorder to sneak shot a partner at home) to obtain evidence of infidelity. Without proper treatment, delusions can last forever; but sometimes, when the accused party is gone, delusions disappear. ^[3]

3. erotomanic type-also known as deClerambault's syndrome. Patients will think they are in love with someone. This type is more common in women but can also occur in men. The lover in fantasy is often out of reach (the other party is either in high condition or married), or even the other party is just a "phantom", which does not exist in reality. The patient also insisted that the other party fell in love with himself first, but in fact the two had little or no real contact. Although patients sometimes make excuses for each other, they also become angry and anger and make abnormal actions such as tracking, harassment, assault, abduction, and even murder. ^[3]

4. Physical delusion (somatictype)-The patient insists that he is ill, so he often seeks medical treatment. Although the treatment is ineffective, he is still persistent. Some patients say that they smell, see, or feel something abnormal, and that they can't be cured by trying many methods. Patients may create some treatments, some of which are very strange and have certain risks. Over time, most patients will experience anger, rejection, despair, and even suicidal thoughts or attempts.

5. Grandiose type-delusion that you have the supreme value, power, knowledge, identity, or psychic ability, or that you have an unusual relationship with a great person. Driven by this idea, patients will deliberately change their lifestyle to cater to delusions, becoming extravagant, arrogant, and fanatical. At times, patients show anger when faced with stress and engage in antisocial behavior.

6. Mixed type-mixed the characteristics of several types of delusion, but no one type is the most prominent.

7. Untyped-for example, no malicious delusions. Cotards syndrome can be described as an extreme delusion of nihilism. For example, patients may say that their heads have been completely destroyed, or that their family members no longer exist. ^[3]