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Paranoid personality disorder

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Alternative names   

Personality disorder - paranoid

Definition    Return to top

Paranoid personality disorder is a psychiatric condition characaterized by extreme distrust and suspicion of others.

Causes, incidence, and risk factors    Return to top

Personality disorders are chronic patterns of behavior that cause lasting problems with work and relationships. The cause of paranoid personality disorder is unknown, but it appears to be more common in families with psychotic disorders like schizophrenia and delusional disorder, which suggests a genetic influence.

Symptoms    Return to top

People with paranoid personality disorder are highly suspicious of other people. They are usually unable to acknowledge their own negative feelings towards other people.

Other common symptoms include:

Signs and tests    Return to top

Personality disorders are diagnosed based on psychological evaluation and the history and severity of the symptoms.

Treatment    Return to top

Treatment is difficult because people with this condition are often extremely suspicious of doctors. If accepted, medications and talk therapy can both be effective.

Expectations (prognosis)    Return to top

Therapy can limit the impact of the paranoia on the person's daily functioning.

Complications    Return to top

Calling your health care provider    Return to top

If suspicions are interfering with relationships or work, a health care provider or mental health professional should be consulted.

Update Date: 1/25/2003

Updated by: David Taylor, M.D., Department of Psychiatry, University of Pennsylvania Medical Center, Philadelphia, PA. Review provided by VeriMed Healthcare Network.

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