Delusions of grandeur: symptoms and signs in men and women


Such individuals are unable to sleep if there are dirty dishes in the sink, unironed linen on the chair, and a hint of dust in the corner. Just a hint, because in principle they don’t have dust: they clean every day. These clean people wash their hands with antibacterial soap a hundred times a day, change towels after each wash, and don’t leave the bathroom until they’ve lined them up on the rack. They place the dishes in the drying rack in the “correct” order, rush to straighten a crumpled bedspread as soon as someone gets up from the couch, and vigilantly ensure that there are no traces of toothpaste on the sink. Their slogan is “Order and sterility!”

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Delusions of grandeur - what is it?

what is megalomania

What is megalomania in people? Megalomania is a mental disorder that involves cognitive, behavioral, and self-awareness distortions.

Such a person considers himself incredibly rich, popular and influential, an authoritative person. Many people with delusions of grandeur believe that they have superpowers or a special mission, that they were chosen by a higher power.

Several stages of pathology development can be distinguished:

  1. First, a person tries to stand out at least a little and in some way from other people. He constantly compares himself with others, looking for something in himself that exalts him above others.
  2. Then, in the absence of outstanding abilities and real achievements, a person invents them. He gets so carried away by fantasizing that he begins to believe in it himself.
  3. With every day, month, year, a person becomes more and more drawn into an imaginary life. The individual is constantly engaged in narcissism, waiting for increased attention and admiration from other people. If someone refuses to admire him and support his delusional ideas, then the patient becomes aggressive. Often against this background, a megalomaniac develops ideas about worldwide conspiracies and persecution mania. When delusions of persecution and delusions of grandeur are combined, it is customary to speak of paraphrenic syndrome. This is a state in which a person is sure that someone is just busy thinking about how to kill him or harm him.
  4. If the patient fails to gather a circle of admirers around himself, then the last stage is noticeable - disappointment. A person is upset because the world does not understand and does not accept him. The individual feels betrayed, unwanted, undervalued. Against this background, depressive tendencies and addictions develop. Many megalophobes prefer to isolate themselves from society.

Interesting! Although megalomania is called a mental disorder, it is more often a symptom of another psychological problem, an illness.

Classification

According to ICD-10, manic syndrome is coded in the following categories:

  • F06.30 – psychotic manic disorder arising on an organic basis (encephalopathy, trauma, vascular damage);
  • F30.1 – mania without psychotic symptoms;
  • F30.2 – mania with the inclusion of psychotic symptoms;
  • F30.8 – other manic episodes (short-term disorders with a characteristic clinical picture);
  • F30.9 – manic episode, unspecified (disorders of unknown etiology may be coded here);
  • F31.1 – bipolar affective disorder (old name: manic-depressive psychosis), current episode without psychotic symptoms;
  • F31.2 – episode with psychotic symptoms within bipolar disorder.

In the event that manic syndrome is complicated by somatic diseases, they are coded in the appropriate sections.

Signs

Signs of megalomania:

  • egocentrism, a person's fixation on himself;
  • increased need for attention and special attention to oneself (interests, needs, characteristics, problems of other people fade into the background);
  • the position “there is only my opinion and what is wrong” (zealously defends his point of view, thoughts);
  • conflict;
  • conviction of one’s own genius and the demand from others to confirm these thoughts.

Often, with delusions of grandeur, problems such as hyperactivity and increased mental excitability, problems with sleep are noticeable.

Note! Constant psychophysical and intellectual stress sooner or later leads to exhaustion. Because of this, a person develops depressive and suicidal tendencies.

In psychiatry, it is customary to distinguish between seven types of megalomania. They differ in their manifestations:

  1. Delirium of a special origin. The main sign is a person’s conviction that blue blood flows in him. Some patients claim that they are close relatives of one of the stars. Other patients say that they are of noble origin.
  2. Delirium of wealth. The leading sign is the confidence that a person has untold wealth, and unreasonable spending of money in the present.
  3. Delirium of Alexander the Great (Alexandrism). The main sign is counting oneself among the ranks of great scientists, generals, artists, politicians, etc. The person is confident that he has outstanding abilities and talents.
  4. Reformism (nonsense of invention). The leading sign is that the patient is confident that he has made a great theoretical or practical discovery that will change the world. Of course, for other people his “discovery” looks like an episode from a science fiction film, a child’s play.
  5. Delirium of love. Sign - the patient is sure that he is passionately loved and desired by one of the great people, stars, politicians, etc.
  6. Messiah syndrome. The leading sign is a person’s conviction that his mission is to save all of humanity. Often such people become the founders of sects.

Interesting! Among people with delusions of grandeur, sometimes there are truly outstanding personalities. However, as a rule, they do not realize this and concentrate their attention on something else, fantastic.

Risk factors

There is a theory that one of the factors that can contribute to the development of persecutory delusions is an innate feature of the human nervous system. It manifests itself in increased sensitivity, emotionality, and a tendency to exaggerate.

Particularly susceptible to the development of the disorder are people who in childhood experienced hypercontrol in their upbringing or ignorance from loved ones, which further contributes to the development of a victim complex and delusions of persecution. Failure in the nervous system can also occur under the influence of traumatic situations.

Symptoms

Symptoms and signs of megalomania in men and women are practically the same:

  • excessive activity and increased performance;
  • eccentricity in emotions;
  • talkativeness;
  • intolerance to criticism (they ignore the opponent or show aggression if they hear criticism addressed to them);
  • mood swings;
  • accusing other people of being stereotyped, erroneous in their thinking and opinions;
  • undeveloped empathy.

Reasons for development

Often this disorder develops against the background of paranoia, mania or an inferiority complex.

To date, the reasons that may influence the appearance of megalomania are not reliably known. However, certain factors that provoke the development of the disease are considered, especially if there was a predisposition to it. Namely:

  • constant stress;
  • brain injuries;
  • hereditary predisposition;
  • character traits (the presence of low self-criticism, high self-esteem);
  • drug or alcohol addiction.

Delusions of grandeur can develop against the background of such diseases as:

  • syphilis of the brain;
  • paranoid disorder;
  • neurosis;
  • manic-depressive syndrome;
  • schizophrenia.

The formation of megalomania is influenced by the conditions in which a person was raised. If in childhood he was overly admired, showed overprotection, influenced the formation of inflated self-esteem and pride. The relationship between the development of this disorder and the upbringing of women is especially clear. Some parents, raising their daughters, regularly admire them and treat them like princesses.

Sometimes the disorder in question develops for no apparent reason. Even a psychotherapist is unable to determine what exactly underlies it.

Diagnostics

Only a psychiatrist can diagnose megalomania. A psychologist can only suspect a problem and refer you to a doctor. The main diagnostic method is a conversation with the suspected patient. In addition, the doctor communicates with the patient’s relatives and friends and collects a complete medical history. At the same time, the doctor prescribes an instrumental examination of the brain. It is important to consider the dependence of megalomania symptoms on other diseases, for example, when combined with schizophrenia.

Note! Megalophobes themselves rarely seek help. As a rule, they are referred to a psychologist by close people. Patients do not see any problems in their behavior and self-perception; they try with all their might to demonstrate and prove their uniqueness.

[edit] Treatment

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How to get rid of delusions of grandeur

How to get rid of delusions of grandeur? It is impossible to do this on your own. To treat megalomania, an integrated approach is used: medication (neuroleptics, tranquilizers, sedatives) and psychotherapy (cognitive behavioral psychotherapy, hypnosis, gestalt therapy). If a person does not pose a danger to himself or others, he is treated on an outpatient basis. Otherwise, hospitalization and inpatient treatment are indicated.

The mystery of the name

Considering the biography of Nila Mania, one cannot help but mention her name. On all social networks she is signed as Nila Mania. And the question immediately arises: “Is this name real?” Nila Mania's biography will help you understand this.

One day a girl revealed the secret of her origin to her fans in one of the stories. The girl was born in Uzbekistan, and her real name is Nilufar. It is quite common in Central Asian countries, but less popular in Russia. Perhaps that is why for most fans this name sounds extremely interesting and beautiful.

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