psychiatric disorders
Paranoid Personality Disorder (PPD)
Diagnosis of Paranoid Personality Disorder
Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR) criteria For a diagnosis of paranoid personality disorder ( Differential diagnosis ), patients must have A persistent distrust and suspiciousness of others 4 of the following ( Diagnosis reference ): Unjustified suspicion that other people are exploiting, injuring, or deceiving them Preoccupation with unjustified doubts about the reliability of their friends and coworkers Reluctance to confide in others lest the information be used against them Misinterpretation of benign remarks or events as having hidden belittling, hostile, or threatening meaning Holding of grudges for insults, injuries, or slights Readiness to think that their character or reputation has been attacked and quickness to react angrily or to counterattack Recurrent, unjustified suspicions that their spouse or partner is unfaithful Also, symptoms must have begun by early adulthood. Clinicians can usually distinguish paranoid personality disorder from other personality disorders by the pervasiveness of its paranoia regarding others (eg, as opposed to the more transient paranoia of borderline personality) and by the core feature of each disorder: Schizoid Personality Disorder (ScPD) : Disinterest (as opposed to the mistrust in paranoid) Schizotypal Personality Disorder (STPD) : Eccentric ideas, speech, and behavior Borderline Personality Disorder (BPD) : Dependency Narcissistic Personality Disorder (NPD) : Grandiosity Antisocial Personality Disorder (ASPD) : Exploitation Avoidant Personality Disorder (AVPD) : Fear of rejection Paranoid personality disorder can be distinguished from Delusional Disorder (persecutory type), 1. American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR). Washington, DC, American Psychiatric Association, 2022, pp 737-741. 