The person with a paranoid personality disorder has a general mistrust and suspicion towards other people. Other people's motives are interpreted as vicious. 

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Symptoms of paranoid personality disorder

A personality disorder is characterized by abnormalities in the personality. The condition manifests itself already in adolescence and continues into adulthood.

The person with a paranoid personality disorder has a general mistrust and suspicion towards other people. Other people's motives are interpreted as vicious. 

The person has a strong hypersensitivity to rejection and defeat, and an end to carry resentment for a long time. The person is prone to misinterpret the neutral or friendly actions of others as something hostile or scornful. 

It is a militant attitude about one's own rights that does not correspond to the situation or the environment.

It is typical with a recurring and unfounded suspicion that their partner is cheating on him/her. There is a marked tendency of exaggeration of self-importance, i.e. that you think others are talking about you when they do not.

Paranoia is often understood as preoccupation with an belief that on is being persecuted by others, and this is a trait that these people have a lot of. The person often sees conspiracies, and finds a number of pieces of evidence that build up under the assumptions. Attempts to "disprove" the conspiracies are often interpreted into the paranoid system, and are for the person a further confirmation that they are right. 


According to the diagnostic tool SCID-II, paranoid personality disorder is characterized by the following traits


  1. Suspects, without sufficient basis, others to want to exploit, harm or deceive the person. 
  2. Dealing strongly with unfounded doubts about the loyalty and trustworthiness of friends and other people with whom he associates. 
  3. Is careful to confide in others for unfounded fear that what you says will be used against you. 
  4. Perceives innocent remarks or incidents as something that is degrading or threatening. 
  5. Carries resentment over a long period of time, has difficulty forgiving insults, injustice, or insults. 
  6. Experiences that one's person or reputation is attacked, without this being obvious to others, and therefore reacts quickly with anger or counter-attack. 
  7. Constantly, for no apparent reason, suspect your spouse or partner of being unfaithful. 


What helps with paranoid personality disorder?

The treatment of personality disorders aims to create better social functioning and adaptation. In addition, attempts are made to reduce acute symptoms, such as psychosis. Furthermore, support is provided to ride out crises in relation to those closest to them.

In the treatment context, personality disorders are divided into two groups: mild and severe personality disorders. The mild personality disorders include avoidant, obsessive-compulsive and dependent personality disorders, while the rest are considered among the most severe.

The main treatment for the mild personality disorders is long-term psychotherapy. This is done by a specialist. Some will need additional treatment for depression and anxiety.

In the case of severe personality disorders, hospitalization and medical treatment in crises may be necessary, in addition to long-term psychotherapy. Supportive talks with a general practitioner may also be relevant.