I wish to discuss a strategy I have developed for controlling my risk of developing bizarre delusions by analysis of certain inferences that I am liable to make. I should say here to avoid confusion that by inference here I mean thoughts about what I think is happening or has happened, based on some kind of evidence or reasoning.
This strategy of analyzing inferences won’t at the same time be able to explain how the bizarre delusions developed exactly, ie, I cannot for instance account for why I make the inferences that I highlight, and I also don’t know how all the other symptoms that I may be exhibiting may also have contributed to making these inferences or developing the bizarre delusions, so this strategy is not intended to serve as a complete explanation of my behavior, let alone anyone else’s.
The aim instead has been for me to understand more about where my bizarre delusions come from in my immediate consciousness and interpretation of the world so that I can reliably identify when there is real danger that a bizarre delusion might develop. By identifying these inferences, this can serve as an early warning system, which can then prompt me to question the inference and be much more skeptical toward it allowing me to spend more time assessing its credibility and gathering evidence that will give me the opportunity to disconfirm it.
To be successful, this early warning strategy has to be quite specific. You can’t go around thinking every anxious or slightly paranoid thought means you are at risk for developing psychosis again. Such an overly cautious strategy will fail because it is exhausting.
by Adam Timlett, Medscape