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Certain Delusions Can Prevent the Course of Treatment - Printable Version

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Certain Delusions Can Prevent the Course of Treatment - ArmandCNP - 11-25-2025

Psychiatrists can't treat you properly if they don't know what afflicts you. They rely on you to verbalize all of your symptoms unless you're lucky enough to be witnessed in the midst of an episode. Barring that rare occurrence, this is where certain delusions can prevent treatment.

Patients can have a delusional narrative in their heads that cause them to hold back the truth from their doctor. Maybe, for example, the entities that stalk the patient have threatened to kill them should they reveal the truth of what is going on in their life. What's worse is if the entities require the patient to lie about their symptoms entirely.

The doctor has no way of knowing the difference. As far as they are concerned, they are treating the patient for the symptoms conveyed during their session. Yet they were all lies. Lies the patient was required to tell.

If "the lying delusion" is persistent and powerful enough, the patient can go years being improperly treated by their doctors. Indeed, the very sickness the patient is being treated for is the very obstacle that prevents the treatment from treating. Leaving both the doctor and the patient oblivious all the while.

It's both scary and sad to consider. Yet it is frighteningly common.