If the individual suffers specific symptoms such as severe anxiety or delusions that result in dysfunction or self-harm or harm to others, medication is recommended. Medications may have an adverse effect with increased paranoia and suspicion, leaving the individual to forgo treatment altogether. The use of medications for paranoid personality disorder is mostly discouraged. Informal recovery may include self-help via family support, services for housing, and vocational assistance. Comprehensive treatment can include both formal and informal approaches. If untreated, the person may suffer difficulties at work and at home. Therapy and some medications have proven to be effective approaches. People with paranoid personality disorder may suffer chronic paranoia if left untreated. However, the individual may harbor suspicion about the mental health professional, which can hurt the management of the disorder. There are effective treatments for paranoid personality disorder. Note: If criteria are met prior to the onset of schizophrenia, add “pre-morbid,” such as “paranoid personality disorder (premorbid).” Does not occur exclusively during the course of schizophrenia, bipolar disorder, or depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.Ģ.Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.
Persistently bears grudges (such as is unforgiving of insults, injuries, or slights).Reads benign remarks or events as demeaning or threatening.Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates.Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.Pervasive distrust and suspicion of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following: Signs and symptoms of paranoid personality disorder, as cataloged by the DSM-5:ġ.
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