Delusions of grandeur: A look at the nature of false beliefs and grandiosity

While high self-esteem and soaring self-confidence are usually considered admirable traits, when delusions of grandeur set in, it’s often a cause for concern. Though delusions of grandeur may sometimes be a symptom of a mental health condition, these elevated self-perceptions can be visible even without a pre-existing condition.

Take a closer look at what false grandiosity may look like, what causes it, and how a therapist or nurse practitioner at Thriveworks can help.

What Are Examples of Delusions of Grandeur?

Delusions of grandeur are characterized by a person’s false belief in their greatness or superiority. Examples of delusions of grandeur include:

• Believing oneself to be a famous historical figure or celebrity, like Frank Sinatra or King Henry VIII.
• Convincing oneself that they possess extraordinary powers or abilities, like the ability to fly or control the weather.
• Claiming to have a special relationship with a person of authority, such as being the president’s advisor or an undercover close confidant of a world leader or intelligence agency.
• Insisting on having a divine connection or being a chosen prophet with a mission to save the world.
• Fantasizing about being the rightful ruler of a fictional kingdom or empire.

What Is a Bipolar Delusion of Grandeur?

In bipolar disorder, some (not all) individuals may experience episodes of mania characterized by heightened mood, increased energy, and impulsivity. A bipolar delusion of grandeur specifically refers to delusions experienced during manic episodes where the individual believes they possess extraordinary abilities, talents, or importance. 

Examples of bipolar delusions of grandeur may include:

• Believing oneself to be invincible or immune to harm.
• Convincing oneself that they are destined for greatness and will achieve unparalleled success.
• Fantasizing about having special powers or abilities beyond human capabilities, such as mind reading or time travel.
• Claiming to have divine revelations or being chosen for a special mission by a higher power.

In bipolar disorder, individuals may experience episodes of mania characterized by heightened mood, increased energy, and impulsivity. A bipolar delusion of grandeur specifically refers to delusions experienced during manic episodes where the individual believes they possess extraordinary abilities, talents, or importance. 

Examples of bipolar delusions of grandeur may include:

• Believing oneself to be invincible or immune to harm.
• Convincing oneself that they are destined for greatness and will achieve unparalleled success.
• Fantasizing about having special powers or abilities beyond human capabilities, such as mind reading or time travel.
• Claiming to have divine revelations or being chosen for a special mission by a higher power.

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Difference Between Grandeur and Grandiose Delusions

While both terms refer to similar phenomena involving exaggerated beliefs of superiority or importance, there is a subtle distinction between grandeur and grandiose delusions:

• Grandeur typically refers to a broader sense of greatness or superiority, encompassing beliefs of extraordinary abilities, special relationships, or divine connections. 
• Grandiose delusions involve inflated self-esteem and beliefs of being uniquely talented, powerful, or influential, often without evidence to support such claims.

Do Narcissists Have Delusions of Grandeur?

Narcissistic personality disorder (NPD) is characterized by a pervasive pattern of grandiosity, a need for admiration, and a lack of empathy. While individuals with NPD may exhibit traits of grandiosity, controlling behavior, and exaggerated self-importance, they may not necessarily experience delusions of grandeur in the clinical sense.

 However, narcissists may display behaviors that resemble delusions of grandeur, such as:

• Exaggerating their achievements, talents, or abilities to inflate their self-image.
• Fantasizing about unlimited success, power, or beauty without regard for reality.
• Believing they are inherently superior to others and entitled to special treatment or privileges.
• Disregarding feedback or criticism that contradicts their inflated self-image.

How Are Delusions of Grandeur Treated? 

Delusions of grandeur are typically treated as part of a broader approach to addressing the underlying mental health condition contributing to these beliefs. Treatment for delusions of grandeur may involve a combination of therapies and interventions tailored to the individual’s specific needs and diagnosis. Some common approaches to treating mild to moderate  delusions of grandeur at Thriveworks include:

• A mental health evaluation: A thorough psychiatric assessment is often essential to accurately diagnose any underlying mental health conditions contributing to delusions of grandeur. This evaluation may involve gathering information about the individual’s symptoms, medical history, family history, and current functioning.
• Medication: In cases where delusions of grandeur are associated with conditions such as schizophrenia or bipolar disorder, medication may be prescribed to help manage symptoms. Antipsychotic medications, mood stabilizers, or antidepressants may be used to reduce the intensity of delusions and stabilize mood.
• Psychotherapy: Talk therapy, such as cognitive behavioral therapy (CBT) or psychoeducation, can help individuals explore and challenge their beliefs, develop coping strategies, and improve insight into their condition. Therapy can also address underlying issues contributing to the development of delusions, such as low self-esteem or distorted thinking patterns.

Tailoring treatment to the individual’s specific needs and preferences is essential for optimizing outcomes and promoting long-term stability in those with persistent thoughts of grandeur. At Thriveworks, we can offer therapy and psychiatric care to those struggling with irrational thoughts and behaviors, such as delusions of grandeur. 

Learn more about how our services can help, and call or book online at your nearest Thriveworks location to get started with a therapist who can address your needs.