Paranoid Personality Disorder
Mistrust and suspicion of others
Information about Paranoid Personality Disorder – its presentation, symptoms and treatment options.
Paranoid Personality Disorder beliefs, emotions and behaviour
A person with a paranoid personality expects to be exploited or mistreated by others. They are scared of being vulnerable or hurt and see the world as a hostile place and believe that they always need to protect themselves. The individual will believe that they are innocent and can struggle to acknowledge fault, interpreting others actions as deliberately demeaning or threatening. They see the world as a dangerous place.
Missing Interpersonal Ability:
Trust and Acceptance
Someone with these traits may be secretive, hyper vigilant and always looking for signs that others are hurting them. They are likely to become hostile and angry to potential insults and can come across as unfriendly, lacking connection and cold. They may blame others for their mistakes, will not confide in others, and are likely to hold grudges (often over the smallest of things).
An Example of Paranoid Personality Disorder
I am right, noble and innocentParanoid beliefs about self
Others are interfering and maliciousParanoid beliefs about others
The world is a dangerous placeParanoid beliefs about the world
How do you know if it is Paranoid Personality Disorder or a symptom of Schizophrenia?
Someone who displays paranoia as part of Schizophrenia symptoms will only show these whilst they are unwell, and they are likely to occur with other symptoms such as hallucinations or delusional thinking. The paranoia is not part of the individuals true personality. Someone with Paranoid PD will show this paranoia in many areas of their lives, and this will be a persistent trait, especially as an adult.
What treatment is there for Paranoid Personality Disorder?
If you think you may have this Personality Disorder, please contact your GP in the first instance to talk about your treatment options.
At present, there are no formal guidelines for the treatment of Paranoid PD. Very little research exists about the use of medicine with these individuals, and the recommendation is that any medication used looks to treat specific symptoms that are present.
There is no research that confirms the best therapy for Paranoid PD. It is possible that Schema therapy may be able to help, as it is adaptable to different needs and could help to understand some of the mechanisms behind the paranoia.