Trauma-based & Family Psychotherapy For Angry, Anxious, Depressed, and Frustrated Families

Understanding your loved one: Coping with delusions

Photo Credit: Pexels

Maintaining a relationship with a loved one who may be experiencing delusions is like walking on shaky ground. Every step you take could land you in an argument or adversarial position. Whether you intend to argue your points or attempt to bring reality to the attention of your loved one, you will always be on the opposing side. Delusions are strong beliefs held to be true despite evidence to the contrary.


Here is a listing of types of delusions to be watchful of:

  1. Grandiose type: Delusions involve inflated worth, power, knowledge, or identity. This is not the same as narcissistic thinking. Grandiose delusions might sound like this: “I am usually more intelligent than most, so I must rid the world of people not as smart as me.”
  2. Erotomanic type: Strong belief that another person of higher status (celebrity, congressman, etc.) is in love with them. This can occur even when there has been no relational ties with the person.
  3. Jealous type: Strong belief that an intimate partner is being unfaithful, despite evidence to the contrary.
  4. Persecutory type: Delusions or strong beliefs that the person is being persecuted or malevolently treated.
  5. Somatic type: Delusion that the person has a physical defect or medical condition. This is different from hypochondria.
  6. Mixed type: Delusions that may entail all of the above.


There are a few things you can do to cope with this behavior:

  1. Don’t argue: It is going to be very difficult to unravel the entanglement of delusions that your loved one is entertaining. Keep in mind that they truly believe what they believe and they have a “deficit” in deciphering truth from fiction. This person needs a certain level of compassion.
  2. Don’t directly reject the delusion: I’ve learned from experience that delusions are strongly connected to emotions, so it will be difficult to reject that person’s belief without becoming confrontational. You want to take a neutral stance. You can do something simple such as getting off the topic or redirecting the conversation in a subtle manner.
  3. Don’t jump to pathologize: Don’t label your loved one’s delusion(s) as psychiatric just yet. There are cases in which delusions are part of medical or neurological conditions and also what I call “conditions of human nature.


This is a very difficult situation to live with. It is difficult to view reality from your loved one’s perspective when you know their perspective is skewed. It may be helpful for families and caregivers to discuss this situation with a therapist and ask for a consultation. In any event, make sure to take care of yourself and remember: do not argue with them. You won’t win.


I wish you all the best


For information on how to distinguish what type of delusions your loved one may be experiencing, visit my “sister site” at Caregivers, Family, and Friends.

As always, I wish you well

*CORONA VIRUS UPDATE1050 Lincoln Way, Ste 1 - Pittsburgh PA

As we get closer to the middle of May states across the nation are passing laws, reducing restrictions, and enacting new regulations to help support the transition from stay-at-home orders to the normal flow of life again.

Unfortunately, Gov. Wolf hasn't reduced the mask wearing restrictions in Allegheny County. However, he has announced most of Western PA will be moving to the yellow phase beginning May 15. This means that we can slowly regain some normalcy.

But until the mask wearing restrictions are reduced or eliminated Anchored Child & Family Counseling will remain closed. I will be making small transitions back to the office over the course of summer and seeing some clients in-person based on need.The office will be open starting June 17, 2020 with the goal of remaining open until/if state laws change in response to Corona virus restrictions.

In the meantime, I will be continuing teletherapy sessions until mid-June. My office assistant and I will be monitoring your insurance policy to ensure that you will be covered for teletherapy and that your copayments will be waived. At this time, it appears that all major insurance companies (UPMC, Highmark, Aetna, Optum/United, and Cigna) are continuing to provide coverage for teletherapy.

Please check (the practice website) for updates and my business facebook page at:

Please continue to stay safe!
Thank you


Támara Hill, MS, NCC, CCTP, LPC

Licensed Child & Family Therapist
National Board Certified Counselor
Internationally Certified Trauma Therapist

x Logo: Shield
This Site Is Protected By