![]() ![]() The hallmark criteria regarding paranoid personality disorder (PPD) are distrust and suspicion of others such that others are seen as purposefully attempting to harm one in some way without any evidence to suggest this is the case. Although noted in the writings of psychiatrists since the late 1800s, the condition was first called paranoid personality by Kraepelin in 1921 (Akhtar, 1990). Paranoid personality disorder (PPD) is a Cluster A personality disorder. Paranoid personality disorder is a clinically well-recognized disorder that has not been the object of a great deal of investigation. Describe the characteristics and diagnosis of paranoid personality disorder.Patients with this disorder can suffer for a lifetime and require regular therapy. The paranoid personality disordered does not normally seek help and does normally discontinue therapy. A healthy therapist-client alliance will offer a great benefit to those who suffer. ![]() People who suffer from this personality disorder have often experienced difficulties that are ingrained and impede interpersonal relations. The most favorable treatment for paranoid personality disorder is psychotherapy. These medications should be prescribed for the shortest period feasible. Anti-psychotic medication, such as thioridazine or haloperidol, may also be used. Anti-anxiety drugs, such as diazepam, can be prescribed if daily function has been impeded. If the individual suffers specific symptoms such as severe anxiety or delusions that result in dysfunction or self-harm or harm to others, medication is recommended. Medications may have an adverse effect with increased paranoia and suspicion, leaving the individual to forgo treatment altogether. The use of medications for paranoid personality disorder is mostly discouraged. Informal recovery may include self-help via family support, services for housing, and vocational assistance. Comprehensive treatment can include both formal and informal approaches. If untreated, the person may suffer difficulties at work and at home. Therapy and some medications have proven to be effective approaches. People with paranoid personality disorder may suffer chronic paranoia if left untreated. ![]() However, the individual may harbor suspicion about the mental health professional, which can hurt the management of the disorder. There are effective treatments for paranoid personality disorder. Note: If criteria are met prior to the onset of schizophrenia, add “pre-morbid,” such as “paranoid personality disorder (premorbid).” Does not occur exclusively during the course of schizophrenia, bipolar disorder, or depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition.
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