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Paranoid Personality Disorder

Allan M Kerandi, MD and Sybil K Marsh, MD MA Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Paranoid personality disorder is defined by a pattern of distrust and suspiciousness such that others’ motives are interpreted as malevolent. Consequently, patients avoid intimate re...

DIAGNOSIS

HISTORY

  • Thorough psychiatric history

  • Collateral history to establish pervasive pattern of behavior

  • DSM-5 categorizes PPD as PD-TS, with diagnostic criteria in DMS-5 Section III. PD-TS is separa...

TREATMENT

GENERAL MEASURES

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

  • Outpatient individual psychotherapy that is predictable, respectful, and straightforward is preferred (2)[A].

  • Overl...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Patient monitoring at regular scheduled visits 

  • Monitor attendance at other appointments planned collaboratively. 

  • Monitor state DMP if benzodiazepines are prescrib...

REFERENCES

1
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 5th ed.Arlington, VA: American Psychiatric Association; 2013.
2
Verheul R, Herbrink M. The efficacy o...

ADDITIONAL READING

Personality disorders. In: Smith RC, Osborn GG, Dwamena FC, et al. eds. Essentials of Psychiatry in Primary Care: Behavioral Health in the Medical Setting. McGr...

CODES

ICD10

  • F60.0 Paranoid personality disorder

SNOMED

  • 13601005 Paranoid personality disorder

  • 191667009 Paranoid disorder

  • 18117002 Paranoid character

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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