Yes, it is possible for someone to be self-aware of their delusions while still experiencing difficulty in controlling their responses to them. This phenomenon is often referred to as "delusional insight" or "partial insight." In such cases, individuals recognize that their beliefs are irrational or not based in reality, yet they may find it challenging to completely dismiss or control the emotional impact these delusions have on them.
Delusional insight can occur in various mental health conditions, such as schizophrenia or delusional disorder, as well as in some cases of bipolar disorder or severe depression with psychotic features. The degree of insight can vary from person to person and may fluctuate over time.
Recognizing that one's beliefs are delusional is a positive sign as it shows some level of awareness and cognitive insight. It also differentiates these individuals from those who lack insight and are unable to recognize the irrationality of their delusions.
However, even with insight, the emotional response to delusions can still be strong, and attempts to control or dismiss these beliefs may be challenging due to factors such as emotional distress, fear, anxiety, or the conviction associated with the delusional thoughts. These emotional responses can interfere with an individual's ability to function in daily life and maintain relationships.
It is crucial for individuals with delusional thoughts to seek professional help. Therapies such as Cognitive Behavioral Therapy (CBT) and medications can be beneficial in managing the emotional responses and reducing the impact of delusions on their lives. A qualified mental health professional can work with the individual to develop coping strategies and address any underlying issues contributing to the delusional beliefs and emotional responses.