after my wife quit drinking, which was a mild alcohol use disorder, she started experiencing a number of paranoid delusions, including a pedophile ring closing in on our kids, the community hacking her account to paint her as a racist and run her out of town, and me taking our kids and flying away.
there were no hallucinations or bizarre delusions, just believing a bunch of things that there was no factual basis of.
Initially the doctor put her on lithium, which did no good. Further discussions with the therapist resulted in treating her illness as primarily anxiety-driven with obsessive traits. I had no idea that delusions could be anxiety driven, but they can be.
They switched her to a low dose of olanzapine and Prozac. She's 45 and perimenopausal, so she needed also a supplement of progesterone. She also takes Xanax as needed during the day, which is usually a couple of times.
I don't think we're done fine-tuning the medication, but it is made an unbelievable difference in our lives.
She has also done an amazing job with her therapy and dealing with Her childhood emotional issues that have been unresolved for so long. She still has work to do on that, but is making great progress.
I just wanted to pass along this success story in hopes that it might help someone else.