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Paranoid Personality Disorder

Madhavi Singh, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Paranoid personality disorder is a pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent.

  • Consequently, patients avoid intimate relationships,...

DIAGNOSIS

HISTORY

  • Thorough psychiatric history

  • Collateral history to establish pervasive pattern of behavior

  • DSM-5 section II diagnosis: based on fulfilling 4 of 7 criteria for the disorder (2)

    • Suspects...

TREATMENT

GENERAL MEASURES

  • Treatment is difficult and is often avoided by the patient.

  • Outpatient individual psychotherapy that is predictable, respectful, and straightforward is preferred (4)[A].

    • Over...

ONGOING CARE

PATIENT EDUCATION

National Institute of Mental Health: https://www.nimh.nih.gov/index.shtml 

PROGNOSIS

  • Good prognosis for those with good ego strength and strong support system

  • Poor prognosis...

REFERENCES

1
Lee R. Mistrustful and misunderstood: a review of paranoid personality disorder. Curr Behav Neurosci Rep.  2017;4(2):151–165. [View Abstract on OvidMedline]
2
American Psychiatric Assoc...

CODES

ICD10

F60.0 Paranoid personality disorder 

ICD9

301.0 Paranoid personality disorder 

SNOMED

13601005 paranoid personality disorder (disorder) 

CLINICAL PEARLS

  • Paranoid personality disorder is a maladaptive, persistent pattern of behavior characterized by suspiciousness, inappropriate mistrust of people, and hostility toward others.

  • Although l...

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