Details about Paranoid Personality Disorder

Paranoid personality disorder is characterized by reasonless suspicion, expectation of hostility and unjustified fear of being cheated. Persons who are suffering from this disorder are extremely sensitive towards frustration, have very angry behavior sessions, and tend to test loyalty of people living close to them. They are also emotionally cold and rigid, being proud of themselves because of their rationalism and objectivity. They also express a lot of pathological jealousy, filled with hate and distancing themselves from inferior and handicapped people. Marriage is the place where people suffering from this disorder tend to express their issues at highest, as well as in their professional life and working environment.

How to recognize it

One of the main properties of paranoid personality disorder is a change in how one is thinking. This is usually accompanied by tireless searching for hidden meaning or any traces which would help to discover the truth behind the situation being put in front of them. This tendency to focus on searching for answers also includes an intensive impulse to monitor the environment and note everything which isn’t usual or normal. This type of behavior takes a lot of energy from the person, manifesting both as psychological and emotional tensions. People suffering from this disorder simply can’t relax. Paranoid thinking is also characterized with a lack of flexibility. Even the most ensuring arguments have no effect on the rigidity of these people’s thoughts or beliefs and the patient who dares to get into an intense discussion will become a target of their suspiciousness.

Dealing with the disorder

People suffering from this disorder have an intensive desire to control others which resembles low level of self-esteem, which is the core of paranoia. Deep inside these people feel weak, inferior and unsuccessful. Because of this, the grandiose and overall feeling of being special which is often presented can be understood as a compensating mechanism. It’s also hard for these people to ask for psychiatric assistance. Usually, they will be brought in by someone in their environment who managed to get the upper hand over the psychological battle. Even when patients suffering from this disorder willingly accept the treatment, it’s always a battle of thoughts and fears.


Due to the patient’s suspicious nature, group treatments are out of the question. Treatment needs to be based on individual approaches despite the serious challenges which are being put under the psychiatrist’s task. Main issue is lack of trust, which is the first problem requiring a solid treatment procedure. The therapist also needs to take a stance which is different than the patient’s current environment and mental state, making sure to avoid the defensive mindset. When the patient opens up a little, the therapist can start revealing what the patient is feeling and help him accordingly – this is a long process, but an inevitable one if there are any chances for the patient to be treated in a long term. In the best case, the patient will reveal his or her desire to be accepted, loved and close to someone, which is usually linked to their frustrations and disappointments.

About the author

Rani Vyas

Rani Vyas

I'm a Medical Consultant Doctor with a keen interest in Medical bioinformatics and genuinely intriguing way of presenting boring medical knowledge in an enchanting and eye catching way.

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