Paranoid personality disorders are characterized by a pervasive pattern of unjustified mistrust and suspicion over others, which include that their designs are interpreted as malignant. Diagnosis is based on clinical criteria. Treatment includes cognitive behavioral therapy
(See also personality disorders overview.)
Paranoid personality disorders are characterized by a pervasive pattern of unjustified mistrust and suspicion over others, which include that their designs are interpreted as malignant. Diagnosis is based on clinical criteria. Treatment includes cognitive behavioral therapy (See also personality disorders at a glance.) Patients with paranoid personality disorder distrust others and assume that they have the intention to harm them or deceive them, even if they have no or no sufficient reasons for these feelings , It is estimated that 0.4 and 5.1% of the population and 9.7% of the clinical population suffering from a paranoid personality disorder. There is some evidence of increased prevalence in families. Some evidence of a link between this disease and emotional and / or physical abuse and harassment during childhood. Comorbidities are common. Paranoid personality disorder is often the only diagnosis. Common co-morbidities include thought disorders (eg. B., schizophrenia), anxiety disorders (eg. B social phobia [social anxiety disorder]), PTSD, alcohol-related disorders or other personality disorders (eg. B. Borderline). Symptoms and discomfort patients suspected with paranoid personality disorder others that they exploit, deceive or harm them. They feel that they can be attacked at any time without reason. Even if there is little or no evidence, they keep their suspicions and their thoughts upright. Often these patients think that others have strongly and irreversibly injured. You are hypervigilant in terms of possible insults, insults, threats and disloyalty and look for hidden meanings in remarks and actions. Check other carefully in order to obtain supporting evidence for their suspicions. For example, they may indicate an auxiliary supply to the effect that it is believed they could do their jobs alone. If they think that they have been offended or hurt in any way, they do not forgive the person who has hurt her. They tend to counter or in response to these perceived violations to be angry. Because they mistrust the other, they feel a need to be autonomous and to have under control. These patients are hesitant is to trust others or to develop close relationships with others because they fear that the information will be used against them. You doubt the loyalty of friends and loyalty to their spouse or partner. They can be extremely jealous and constantly the activities and motives of their spouse or partner questioned in an effort to justify their jealousy. Therefore, it can be difficult to get along with patients with paranoid personality disorder. If others react negatively to you, see this reaction as confirmation of their original suspicion. Clinical diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [DSM-5]) found. For a diagnosis of paranoid personality disorder, patients must have a persistent mistrust and suspicion towards others and fulfill ? 4 of the following criteria: the unauthorized suspicion that other people they exploit, injure or deceive Dealing with unjustified doubts about the reliability of their friends and colleagues reluctance to confide in others, so that the information will not be used against them misinterpretation of benign remarks or events as if they had a hidden derogatory, hostile or threatening significance Enter the blame for insults, injuries or slights to think other willingness that their character or their reputation were attacked and speed to react angrily or Recurring to counter unjustified V erdächtigungen that their spouse or partner is unfaithful. In addition, symptoms must have begun in early adulthood. Differential Diagnosis Doctors can a paranoid personality disorder from other personality disorders by the omnipresence of their paranoia regarding other different (eg in terms of more temporary paranoia of borderline personality disorder.) And the core function of every fault in the rule: Schizoid: disinterest ( as opposed to suspicion as paranoid) Schizotyp: Eccentric ideas, language and behavior Borderline: dependency Narcissistic: grandiosity anti social: exploitation Avoidant: fear of rejection a paranoid personality disorder can (of delusional disorder tracking type), schizophrenia and a mood disorder with psychotic distinguish features, as these disorders, episodes of psychotic symptoms (eg. as delusions, hallucinations) are prominent. Therapy Cognitive behavioral therapy is the general treatment of paranoid personality disorder the same as that for all personality disorders. No treatments have proven to be effective for a paranoid personality disorder. Total high suspicion and mistrust in patients make the building a rapport difficult. By bringing the doctor expressed that it recognizes the suspicions of the patient to be correct, the relationship between him and the patient can be strengthened. This alliance could then allow patients to undergo cognitive behavioral therapy or be willing to take any medication (eg. As antidepressants, atypical antipsychotics) to treat specific symptoms. Atypical antipsychotics can alleviate fears.