![]() ![]() NOTE: If criteria are met prior to the onset of Schizophrenia, add “Pre-morbid,” e.g., “Paranoid Personality Disorder (Pre-morbid)”.Īccording to the DSM-IV-TR, there are a few exceptions noting personality disorders are not generally diagnosed in individuals under the age 18. ![]() 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 effect of a general medical condition.Has recurrent suspicions, without justification, regarding fidelity of spouse or partner.Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.Persistently bears grudges, because they are unforgiving of insults, injuries, or practical jokes.Reads hidden demeaning or threatening meanings into benign remarks or events.Reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.Preoccupied with unjustified doubts about the loyalty or trustworthiness of friends, family or associates.Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.This can begin by early adulthood and present in a variety of contexts, as indicated by four (or more) of the items listed below. ![]() These individuals are always guarded and alert for attacks from other people in areas of employment, social areas and home life.ĭefined as stated above. In addition, they are able to function socially and in the workplace, although their functioning is affected by this disorder. The important thing to remember is that these individuals do not have Schizophrenia, Paranoid Type because they do not have hallucinations, and their cognitive disorganization, typical of the Schizophrenias, is not present. However, they may experience brief psychotic episodes in response to stress. Individuals who have PPD typically do not have psychotic features, that is, they are clearly in contact with reality, and they usually do not have hallucinations. Those with PPD may develop Major Depressive Disorder, and Substance Abuse or Dependence is frequent. Sometimes PPD may appear antecedent of Delusional Disorder or Schizophrenia. They may frequently be involved in legal disputes because of their tendency to counterattack in response to perceived threats. They are often rigid, unable to collaborate, and often have difficulty accepting criticism and instead blame others for their shortcomings. Since they have trouble with trusting others, people with PPD have an excessive sense of self-sufficiency and autonomy. This is where loyalty and trust issues come in, They are reluctant to give out any information that will hurt them or be used to put them down in any way, so they tend to keep secrets from those who are close to them because of a paranoid idea they will be harmed in the process. For example: They may suspect their spouse or partner is involved in an affair. When people with PPD suspect exploitation, harm, or deceit, it is almost always associated with friends or close partners because these are the people they are near the most. They may also have less cognitive disorganization, therefore they are able to function socially in the work environment, although somewhat effectively as the rest of society. These individuals typically do not have psychotic features, that is, they are in clear contact with reality and usually do not experience hallucinations. If a person with PPD does form a close relationship, the relationship is often accompanied by jealousy and controlling tendencies. People who suffer with PPD do not only suspect strangers, but people they know as well, they believe those they know are planning to harm or exploit them without evidence to support their suspicions. As a result of others reacting negatively to their hostility, their negative expectations are often confirmed for example, they may suspect that their neighbor takes the garbage out early in the morning just to bother them. They are often difficult to get along with, as they can be confrontational and aggressive therefore, they generally lack close relationships with other people because they are constantly waiting for negative outcomes such as betrayal. People with PPD often interpret even friendly gestures as manipulative or malevolent. Paranoid personality disorder (PPD) is characterized by an extreme level of distrust and suspicion of others unjustified feelings of suspicion and mistrust of others, hyper sensitivity, expectation – without justification -that will be damaged and exploited by others and a tendency to find hidden meanings messages and comments that are in reality harmless behaviors as degrading or threatening. ![]()
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