The Paranoid Personality
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The Paranoid Personality

One of the most difficult of personality disorders is that of the paranoid personality. The signs and symptoms are often left untreated.

Among the long list of mental disorders, paranoia, falls into the category of personality disorders. Those with personality disorders have difficulty relating to others, and themselves. One of the personality disorders is paranoia. Paranoia is defined as a baseless or excessive suspicion of the motivation of others. There are multiple types and causes for paranoia. This disorder seems to appear in the late teens, around the age of 18.

According to the Mayo Clinic the symptoms of the paranoid personality disorder is: Distrust and suspicion of others, belief that others are out to harm you, emotional detachment, and hostility. The cause itself is still not known. However, it is believed to develop in childhood when a child suffers from feelings of insecurity within the home.

Along with paranoia, the generalized symptoms of the basic personality disorder includes: inability to form relationships, mistrust of others, mood-swings, poor impulse control, angry outbursts, as well as possible alcohol and/or drug abuse.

Those with as paranoid personality often have the need to control everything and everyone around them. They are often suspicious of everyone. They are often critical of others, unable to communicate and work with others on any level.

Other common symptoms of the paranoid personality includes:

  • Preoccupation and doubts of loyalty of others
  • Reads hidden meanings into remarks and events that they perceive as threatening or demeaning. Of course, their perception is that these hidden meanings are directed at them personally.
  • Holds grudges


Often the paranoid personality disorder is not easy to diagnose. There are other symptoms and disorders such as schizophrenia, sociopathic tendencies, borderline personality, and others which may be present in conjunction with paranoia. It takes a mental health professional, who obtains a complete medical and social history, as well as symptoms in order to perform a complete evaluation and make a final determination as to the diagnosis.


Often, treatment is not sought, until every coping mechanism has been depleted, making it impossible for the affected person to handle any stressors of everyday life. This disorder is difficult to treat because the client is often difficult to deal with, especially if they are actively acting upon their suspicious behavior directing it at the therapist themselves. Group therapy is not recommended for this group. Medications have been used, but most will be suspicious, which results in non-compliance for taking their medications that have been ordered. If severe anxiety or agitation is present, Diazepam is often recommended. Unfortunately, unlike other medical and psychiatric conditions, self-help groups are not readily available if available at all in most areas. Without the correct diagnosis, the correct treatment cannot be implemented. It is also said that this is one disorder that will more than likely be a lifetime illness.


Mayo Clinic

Psych Central


Web MD

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Comments (4)

This is some serious stuff! Thank God I have never had to tangle with a paranoid individual. However, some persons might just be overly careful and not paranoid. One can't be too careful, you know.

Good sharing. There are many people around us with multiple mental disorders among which 'Paranoia' personalities are common. These paranoia personalities sometimes cannot be indicated as the symptoms are not clearly visible or notable.

Well composed details about this personality disorder. Promoted.

Thank you Roberta.