They believe what they are going to believe, yes, but working to keep the patient grounded in reality is part of beginning treatment. You also can't get into a pissing match with somebody over their delusions. It's kind of like walking a tightrope that occasionally moves unexpectedly. I guess what I'm really trying to get across is to say that you don't play into someone's delusions ... don't pretend to understand or agree with the conspiracy or whatever it is, because that WILL backfire.
It's really a lot easier sticking to the truth too ... you don't have to keep track of the lies. I also won't lie about little things like "The doctor will be right in to see you" when "right in" could be any period of time between 15 seconds and three hours. Most of the patients understand and respect that.
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