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Yes, someone can be delusional and firmly believe that their delusions are real. Delusions are false beliefs that persist despite clear evidence to the contrary. Delusional individuals may interpret reality in a way that is significantly different from the consensus of society and often hold these beliefs with great conviction.

Delusions can take various forms, such as paranoid delusions (believing that others are plotting against them), grandiose delusions (having an inflated sense of self-importance or power), somatic delusions (believing they have a severe illness or medical condition), or religious delusions (thinking they have a special connection to a higher power).

It's essential to understand that people experiencing delusions are not intentionally lying or pretending to believe in something. Their beliefs are genuinely real to them, and they often lack insight into their condition. The strength of their conviction can make it challenging to reason with or persuade them to change their beliefs.

Delusions are commonly associated with psychiatric conditions, such as schizophrenia, schizoaffective disorder, and delusional disorder. These conditions often require professional evaluation and treatment, which may include medications and psychotherapy.

If you or someone you know is experiencing delusions or any concerning mental health symptoms, it's crucial to seek help from a qualified mental health professional for proper assessment and support. Early intervention and treatment can significantly improve the individual's well-being and quality of life.

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