Which of the following is the second listed treatment option for Delusional Disorder?

• A. Antipsychotic medication
• B. Psychotherapy/Psychodynamic
• C. Group therapy
• D. Light therapy

Answer: (B)

Delusional Disorder is typically approached with a combination of pharmacologic and psychotherapeutic strategies, with medications addressing the psychosis and psychotherapy helping the person cope and function better. Antipsychotic medications are commonly used first to reduce the intensity and persistence of delusional beliefs. Once pharmacologic symptoms are being managed, psychotherapy is often listed as the next major component because it helps patients challenge distressing beliefs, improve coping, and enhance functioning, which can support treatment adherence and reduce preoccupation with the delusions. Psychodynamic approaches can be part of this psychotherapy umbrella, exploring underlying patterns and defenses that may contribute to the keeping of delusional beliefs, while cognitive-behavioral strategies can provide concrete techniques to test beliefs and modify responses to suspicious thoughts. The other options—group therapy or light therapy—are not central, nonstandard treatments for the core delusional symptoms in this disorder. So the second listed option reflects the role of psychotherapy as the next key step after initial pharmacologic treatment.