Suspicious nature of Paranoid Personality Disorder

Paranoid Personality Disorder (PPD) is a condition characterized by extreme mistrust and dubiousness of others with recurrent suspicions, without justification. The people with this disorder are preoccupied with baseless doubts about the reliability or dependability of others and determinedly bears grudges against others. This generally depends upon the mental adaptiveness like thinking, behavior, the environment which brought them right from their childhood. They are persons constricted with emotional lives, but it does not mean the state of psychosis until it refers to the persons who are constantly mistrustful with others.

Symptoms: Rigid, inflexible, and maladaptive persistent misinterpretation of others' intentions, continuous distrust, fear of being exploited or betrayed by others, unrealistic grandiose fantasies, social isolation, poor self image along with poor sense of humor.

Persons with this disorder are normally hard to get along with and frequently have problems with close relationships because of their excessive suspiciousness and aggression. Their confrontational and distrustful nature draws unsympathetic response in others, which then serves to corroborate their original expectations. Men are more frequent sufferers of this disorder than women.

Causes: Generally the onset of the disorder is in a childhood, the way in which they were brought up and tightened in the way they out speak. But the development strongly lay upon their intensive insecurity and solitariness. This may also lead to weight loss and abnormal development of nervous system may also cause this personality disorder. Children who grow up in a troubled home may enter the adult environment emotionally wounded. The lack of strong bonds with others, being isolated, the patient is self-centered and indifferent to others. Devoid of such consistent discipline results in little regard for rules and the patient lacks appropriate role models and learns to use aggression to solve disputes.

Familial Pattern: Paranoid disorder has a strong genetic component and recent behavioral studies have proved that this disorder is more common in the first-degree biological relations of patients with major depression, Schizophrenia and Delusional Disorder. At present, there are no known successful protective measures that prevent this disorder; however successful psychotherapy and anti-depressants can reduce the disorder to some extent.

Treatment: In controlling the paranoia, treatment like psychotherapy and counseling can be effective but is rarely successful since the person is unable to trust the practitioner or counselor. The most successful treatment for individuals diagnosed with paranoid personality disorder is a combination of medication, psychotherapy or counseling to gain knowledge of coping skills for severe anxiety or delusion, where these symptoms begin to impede normal functioning.

Pharmacotherapy: Biomedical treatment is an important component in treating this disorder and the prescribed medications for precise conditions should be used for the briefest interval possible. The choice of drug is largely empirical in presenting symptoms, associated features and mood state of the patient. Generally the drugs respond to individual symptoms and not to the disorder as a whole. Unfortunately, people with PPD are apprehensive about medications, and no medication so far has proved to be successful in managing the long-term symptoms of PPD.

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