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Paranoid Personality Disorder

Paranoid personality disorder is a psychiatric condition that is a personality disorder characterized by paranoia such as extreme distrust and suspicion of other people. Paranoia doesn’t mean delusions or psychosis, rather paranoia in the sense of paranoid personality disorder means a continuing suspicion not based on factual evidence.

People with paranoid personality disorder often have an extreme sensitivity to rejection, resentfulness and distrust. They also have a tendency to exaggerate events that they have experienced. Paranoid personality disorder is seen as a chronic pattern of behavior that if left untreated will eventually cause problems with maintaining work and relationships. It is unknown as to what causes paranoid personality disorder but studies have shown that most people diagnosed with paranoid personality disorder have a family history of psychotic disorders such as schizophrenia and delusional disorder so this can possibly mean that paranoid personality disorder has a genetic influence.

People who perform both neutral and friendly actions are often perceived as doing something hostile or contemptuous in the eyes of a person with paranoid personality disorder. People with paranoid personality disorder often have unfounded suspicions and often this is in regards to the sexual loyalty of their partners. However, they also have suspicions of loyalty in general. It is often common for them to feel that their rights are not being recognized so they can become stubborn and argumentative while they try to insist that their rights be met. As a result of paranoid personality disorder many have extreme social isolation and in severe cases a potential for violence.

Signs and Symptoms of Paranoid Personality Disorder

Paranoid personality disorder is diagnosed through a evaluation by a psychologist which takes into account the family history of personality disorders and how severe your symptoms are for paranoid personality disorder. There are seven signs and symptoms that can point to a person having paranoid personality disorder. They are as follows:

  1. They are suspicious, without a sufficient basis, that people are exploiting, harming or deceiving them.
  2. They are often preoccupied with unjustified doubts that their friends and associates are not legitimate in their loyalty and/or trustworthiness. These are often just ideas or beliefs of the person with paranoid personality disorder.
  3. They will often not confide in others or be reluctant to do so because they have an unjustified fear that anything they say to the individual will be used as information with malicious intent against them.
  4. They will often find hidden demeaning meanings or threatening messages in remarks or events that are always benign.
  5. They often bear grudges for a long period of time or never forget something a person says or does to them. They are often unforgiving of insults, injuries or slights. The events can be real or perceived by the individual with paranoid personality disorder.
  6. Often they will pick up on attacks to their character or reputation when they are not apparent to other individuals. They are often quick to react in anger or counterattack a perceived threat.
  7. There is a constant recurrence of suspicions, all without justifications, in regards to the fidelity of their spouse or sexual partner.

Treatment for Paranoid Personality Disorder

Paranoid personality disorder is one of the most difficult personality disorders to treat. The reason for this is because a person who suffers from paranoid personality disorder often becomes extremely suspicious of their psychologist. As a result many people with paranoid personality disorder discontinue their sessions before they can get far enough to receive help with the condition. Therefore, if treatment is accepted by the individual the psychologist will often recommend medications to control the condition while having the person undergo talk therapy. Both talk therapy and medications have been effective in treating paranoid personality disorder.

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Whenever someone sorrows, I do not say, 'forget it,' or 'it will pass,' or 'it could be worse' -- all of which deny the integrity of the painful experience. But I say, to the contrary, 'It is worse than you may allow yourself to think. Delve into the depth. Stay with the feeling. Think of it as a precious source of knowledge and guidance. Then and only then will you be ready to face it and be transformed in the process. - Peter Koestenbaum
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