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Treatment typically begins with antipsychotic medication, especially second-generation agents like risperidone, aripiprazole, or olanzapine. The response may take weeks to months and needs close monitoring. Low doses are often sufficient, especially if the delusions are not accompanied by agitation or thought disorder. Cognitive behavioral therapy (CBT) adapted for psychosis can help reduce conviction in the delusions and improve insight. Regular follow-ups are essential to assess shifts in belief rigidity and to modify treatment. Addressing comorbidities like depression or anxiety improves outcomes further. Long-term stabilization, not just rapid symptom removal, should be the goal. In some cases, if the delusions have been present for many years, complete resolution may be unlikely, but the emotional impact and behavioral consequences can still be softened considerably

Patients and families should avoid directly challenging delusional beliefs. Instead, gently redirect conversations toward emotional themes and promote routines that bring structure and self-esteem. In daily life, ensure regular sleep, high-protein morning meals, and consistent sunlight exposure—all of which stabilize circadian and dopamine rhythms. Grounding exercises like walking barefoot on grass in the early morning or 15 minutes of pranayama (such as bhramari or nadi shodhana) can help settle overactive brain loops.