The person with a Paranoid Personality Disorder essentially has an ongoing, unbased suspiciousness and distrust of people. Along with this, they are emotionally detached. In order to have this diagnosis, the person would have to have seen others as having malevolent intentions, by early adulthood in different situations, as indicated by a number of different factors. These factors include: suspicion that others are exploiting, or deceiving them, that others may not be loyal or trustworthy, believes there are threats or attacks on their character in innocent statements that others do not see, and bears persistent grudges. Additionally, this is not a diagnosis which would be used if the person also has Paranoid Schizophrenia, a separate diagnosis, for example, among other diagnosis which would exclude it.

As a rule, those with paranoid personality disorders can be very draining to be around, as their constant habit of blame and suspicion makes one feel the need to reassure them on an ongoing basis. Unfortunately, when reassurances are made, those with this disorder hear contradictory evidence. They view it as more evidence that harm will be done to them.

They tend to think in hierarchy: who controls the power. They want to know who has the power in any given situation. They tend to drive people away from them, and thus have few friends, proving to themselves even more that there is a conspiracy afoot against them. This leads them to have a very lonely life.

Treatment of Paranoid Personality Disorder is difficult because they automatically distrust the therapist. A business-like approach, without "insight oriented therapy" is best indicated.

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DerekW

 

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help

i have spent the last few years woundering what is wrong with me. Eveyone tells me its my fault because of the drugs i've done but no one listens when i say ive been this way way before the drugs. were do i seek help.

James Wilson , May 05, 2009

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In my life right now i have practically no friends, am paranoid of those around me, lonely as hell, an ex-drug user, been treated for years butnothing has really helped me. I also remember having worries as a child that on reflevction were the beginings of this awful illness. The drugs i used to take as a teen (amphetimines, canabis etc) used to help....but now i can say only that illegal drugs have only made my illness worse.
If only i.....would have had the undetstanding and knowledge i have now. i would have fought to get help years ago. but it was so hard talking about things back when.

nick , July 19, 2009

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I belongs to India. I got married to Paranoid person. She not interested in married life and children, due to distrust society and on me too . She face life in entirely different vision(paranoid vision). My treatment suggestion are failed. I tried to managed with her for only one year. Due to country culture and tradition, Its very tough for me to get another girl. She damaged my life to unrecoverable position. I am trying to avoid depression myself.

Mohan , September 25, 2009

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Ditto

I'm living in a constant rut of blame and conspiracy, I can't trust anyone at school. They are lying backstabbers, none of them will know WHY. They think I'm a complete freak, its not fair. These idiots just DON'T KNOW

Julia S. , March 22, 2010

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:/ .

i think i am parnoid but i dont know. at school i feel like everyone is talking about me and i care alot about my looks i contantly ask my friends if i look fat. i put things on facebook things like " i hate you! your two faced why you talking about me" when no one has but it feels that way all the time. when people say whats up? i dont know but im always worrying i dont know what to do. if i am. please help.

Megan , April 20, 2010

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