Paranoid Personality Disorder

Overview

Main Concepts:

Notable Features:

High Yield:

Other:

Definition

Paranoid personality disorder (PDD) is characterized by a pervasive pattern of distrust and suspicion, beginning in early adulthood and occurring in a variety of settings (no specific paranoid delusions).

Patients:

  • Believe they are being exploited and deceived by others

  • Interpret benign comments and events as threats, and react angrily

  • Bear grudges

  • Question the loyalty of partners without justification

Other characteristics include:

  • Oversensitivity to perceived criticism

  • Tendency towards aggression or defensiveness in response to perceived attacks

  • Reluctance to confide in others

PDD often results in social isolation and strained interpersonal relationships, and can make it difficult to establish rapport and a therapeutic alliance with these patients.

Diagnostics


Assessment

Unlike delusional disorder, where delusions are specific, fixed, and unshakeable (held with delusional intensity), individuals with PPD have generalized suspicion without distinct delusions.

Management

Take a non-defensive stance with these patients, and carefully explain things to them.