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Delusional disorder is characterized primarily by the presence of persistent delusions, which are false beliefs that are logically unconnected to reality. The term "nonbizarre delusions" refers to beliefs that, while false, are plausible and could occur in real life. Examples include believing that one is being followed or that a neighbor is plotting against them. This stands in contrast to "bizarre delusions," which are implausible and not based in reality at all.

The presence of nonbizarre delusions is what distinguishes delusional disorder from other mental health conditions. They can be quite fixed and often lead individuals to maintain their beliefs despite evidence to the contrary, affecting their functioning and their interactions with others. Recognizing nonbizarre delusions is crucial for proper diagnosis and treatment.

The other options do not align with the characteristics of delusional disorder. Empathy, heightened sense of reality, and stable mood are not typically associated with this condition and do not reflect the experience of individuals grappling with persistent delusions.