Paranoid Personality Disorder

What is paranoid personality disorder?

Paranoid personality disorder (PPD) is one of a group of conditions called eccentric personality disorders. People with these disorders often appear odd or peculiar. People with PPD also suffer from paranoia, an unrelenting mistrust and suspicion of others, even when there is no reason to be suspicious. This disorder usually begins by early adulthood and appears to be more common in men than in women.

What are the symptoms of PPD?

People with PPD are always on guard, believing that others are constantly trying to demean, harm, or threaten them. These generally unfounded beliefs, as well as their habits of blame and distrust, might interfere with their ability to form close relationships. People with this disorder:

What causes PPD?

The exact cause of PPD is not known, but it likely involves a combination of biological and psychological factors. The fact that PPD is more common in people who have close relatives with schizophrenia suggests a genetic link between the two disorders. Early childhood experiences—including physical or emotional trauma—are also suspected to play a role in the development of PPD.

How is PPD diagnosed?

If symptoms are present, the doctor will begin an evaluation by performing a complete medical history and physical examination. Although there are no laboratory tests to specifically diagnose personality disorders, the doctor might use various diagnostic tests to rule out physical illness as the cause of the symptoms.

If the doctor finds no physical reason for the symptoms, he or she might refer the person to a psychiatrist or psychologist, health care professionals who are specially trained to diagnose and treat mental illnesses. Psychiatrists and psychologists use specially designed interview and assessment tools to evaluate a person for a personality disorder.

How is PPD treated?

People with PPD often do not seek treatment on their own because they do not see themselves as having a problem. The distrust of others felt by people with PPD also poses a challenge for health care professionals because trust is an important factor of psychotherapy (a form of counseling). As a result, many people with PPD do not follow their treatment plan.

When treatment is sought, psychotherapy is the treatment of choice for PPD. Treatment likely will focus on increasing general coping skills, as well as on improving social interaction, communication, and self-esteem.

Medication generally is not used to treat PPD. However, medications—such as anti-anxiety, antidepressant or anti-psychotic drugs—might be prescribed if the person’s symptoms are extreme, or if he or she also suffers from an associated psychological problem, such as anxiety or depression.

What are the complications of PPD?

The thinking and behaviors associated with PPD can interfere with a person’s ability to maintain relationships, as well as their ability to function socially and in work situations. In many cases, people with PPD become involved in legal battles, suing people or companies they believe are "out to get them."

What is the outlook for people with PPD?

The outlook for people with PPD varies. It is a chronic disorder, which means it tends to last throughout a person’s life. Although some people can function fairly well with PPD and are able to marry and hold jobs, others are complete disabled by the disorder. Because people with PPD tend to resist treatment, the outcome often is poor.

Can PPD be prevented?

Although prevention of the disorder might not be possible, treatment can sometimes allow a person who is prone to this disorder to learn more productive ways of dealing with situations.

References

 

This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. For additional health information, please contact the Center for Consumer Health Information at the Cleveland Clinic (216) 444-3771 or toll-free (800) 223-2273 extension 43771. If you prefer, you may visit www.clevelandclinic.org/health/ or www.clevelandclinicflorida.org. This document was last reviewed on:

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