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The presence of delusions is the most obvious sign of delusional disorder, which vary based on the type.

Another characteristic of this condition is that the person often lacks self-awareness that their delusions are problematic. They’re unable to accept that their delusions are irrational or inaccurate, even if they recognize that other people would describe their delusions this way.

Anger and violent behavior may be present if someone is experiencing persecutory, jealous or erotomanic delusions.

People with delusional disorder may also develop anxiety and/or depression as a result of the delusions.

Early symptoms of delusional disorder may include:

  • Feelings of being exploited.
  • Preoccupation with the loyalty or trustworthiness of friends.
  • A tendency to read threatening meanings into benign remarks or events.
  • Persistently holding grudges.
  • A readiness to respond and react to perceived slights.

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