Unlike schizophrenia, individuals with delusional disorder typically do not experience significant impairments in functioning or other psychotic symptoms, such as hallucinations or disorganized thinking. Delusional disorder is a chronic and often challenging condition to treat, but with appropriate interventions and support, individuals can learn to manage their symptoms and lead fulfilling lives.

Psychological counselling offers a holistic and individualized approach to supporting individuals with delusional disorder. By providing education, teaching coping strategies, promoting reality testing, and offering emotional support, counselling can help individuals manage their symptoms, improve quality of life, and work towards recovery.

Cognitive-behavioral therapy (CBT) and supportive therapy can help individuals explore and challenge their delusional beliefs, develop coping strategies to manage distress, and improve insight into their condition. Antipsychotic medications may be prescribed to alleviate symptoms of delusional disorder, although response to medication can vary. In some cases, individuals may be hesitant to take medication due to concerns about side effects or the perceived stigma of mental illness.