Paranoid+Personality+Disorder

 Paranoid Personality Disorder

A psychiatric condition in which an individual is very distrustful and suspicious of others. Individuals believe that others have hidden motives and have an expectation that others will exploit them. They are constantly paranoid that other people are talking about them and are having concerns with them. They tend to be socially isolated and detached. They work poorly with others and have a poor self image and a hostile personality. The "paranoid" in PPD doesn't generally refer to a person with delusions or psychosis but rather to someone who is constantly suspicious and distrustful of others. __personalitydisorders.suite101.com/.../paranoid_personality_disorder__ The cause of paranoid personality disorder is unknown however, it seems to be more common in individuals with a family history of schizophrenia and delusional disorder. This suggests that genes are involved in the cause of the disorder. The course of this disorder is chronic. (Kantor 2004) suite101.com
 * Diagnostic Features**
 * Causes**

Extreme social isolation Potential for violence
 * Complications**

Treatment is very difficult with this disorder because individuals are often extremely suspicous of doctors. However, if treatment is accepted then medications and talk therapy can be helpful.
 * Treatment**

(MedlinePlus, 2010)

If the patient will submit to treatment, psychotherapy has been the most promising treatment method and can be useful in helping the patient control his or her paranoia. Group therapy and family therapy, not surprisingly, is not of much use due to the mistrust they feel towards others. As personality is a relatively stable, deep rooted aspect of self, the long-term projection for those with PPD is often bleak. Most patients experience the symptoms of their disorder for their entire life and in order to manage their symptoms of paranoia, require consistent therapy. (Dobbert 2007, Kantor 2004) suite 101.com
 * //Psychotherapy and Paranoid Personality Disorder://**

//**Medications and Paranoid Personality Disorder:**// Although individual supportive psychotherapy is the treatment of choice for PPD, medications are sometimes used to treat related symptoms. The best use of medications may be for specific complaints such as anxiety or the delusional states that some with PPD may suffer when under stress. Unfortunately, they tend to be suspicious of the medications. No medication has yet proven to be effective in managing the long-term symptoms of PPD. (Dobbert 2007, Kantor 2004) suite 101.com Recommended medication for clients with PPD involves a combination of low-dose neuroleptics and SSRIs. (depression-guide.com)


 * __DSM-IV-TR__**

[|http://www.psychiatryonline.com.rap.ocls.ca/content.aspx?aID=3801#3801]
 * 1) A pervasive distrust and suspiciousness 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:
 * 2) suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her
 * 3) is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates
 * 4) is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her
 * 5) reads hidden demeaning or threatening meanings into benign remarks or events
 * 6) persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights
 * 7) perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
 * 8) has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner
 * 9) Does not occur exclusively during the course of Schizophrenia, a Mood Disorder With Psychotic Features, or another Psychotic Disorder and is not due to the direct physiological effects of a general medical condition.
 * Note:** If criteria are met prior to the onset of Schizophrenia, add "Premorbid," e.g., "Paranoid Personality Disorder (Premorbid)."

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