<s>[INST] my husband has had a serious fall about 20 feet, he ruptured his bladder and broke his ribs he also has liver disease and now he is having a lot of delusions he is not on any pain medication only tylenol what can be done to stop delusions and paranoia how long will this go on  I cannot believe you are charging a fee for an answer you guys should be ashamed of yourselves!!!! [/INST] HI, thanks for using Chat Doctor If he is having delusions and episodes of paranoia, it may be best for him to consult a psychiatrist for evaluation. The doctor would rule out an organic cause for his symptoms such as : (1)any lesion to the brain as a result of his fall (2) electrolyte disturbance (3)infection(4)low blood sugars(5)side effect of medication(6)deny Chat Doctor. If none of these are present then a psychiatric assessment of his mental status would be done and psychiatric medication would be needed. I hope this helps </s>