Differences between delusional disorder and schizophrenia: A mini narrative review

Table 2 Initial approach to patients with delusional disorder

Issue	Target	Recommendation
Safety	For patient, imagined persecutor, and personnel	Safety is the first step
Therapeutic alliance	Patient-clinician relationship is crucial (determines adherence to follow-up)	Building trust for working together on common goals
Enhancing self-esteem and improving skills	Supporting self-esteem and modeling cognitive and social skills	Improving metacognitive and social skills
Targeting emotions and behaviors	Helping patients to identify emotions and prevent acting on delusions	Cognitive-behavioral therapies identify stressors and risk behaviors