Paranoia, pervasive suspiciousness, generalized mistrust of others, hypersensitivity, scanning of environments for clues or suggestions that may validate fears or biases
Differential diagnosis
Delusional disorder, schizophrenia, schizoaffective disorder, other cluster A personality disorders, borderline personality disorder
Frequency
Estimated between 0.5% and 2.5% of the general population[1]
Personality disorders
Cluster A (odd)
Paranoid
Schizoid
Schizotypal
Cluster B (dramatic)
Antisocial
Borderline
Histrionic
Narcissistic
Cluster C (anxious)
Avoidant
Dependent
Obsessive–compulsive
Not otherwise specified
Depressive
Depressive
Cyclothymic
Others
Passive–aggressive
Masochistic
Sadistic
Psychopathy
Haltlose
Immature
Post-traumatic organic
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Paranoid personality disorder (PPD) is a mental disorder characterized by paranoia, and a pervasive, long-standing suspiciousness and generalized mistrust of others. People with this personality disorder may be hypersensitive, easily insulted, and habitually relate to the world by vigilant scanning of the environment for clues or suggestions that may validate their fears or biases. They are eager observers and they often think they are in danger and look for signs and threats of that danger, potentially not appreciating other interpretations or evidence.[2]
They tend to be guarded and suspicious and have quite constricted emotional lives. Their reduced capacity for meaningful emotional involvement and the general pattern of isolated withdrawal often lend a quality of schizoid isolation to their life experience.[3][verification needed] People with PPD may have a tendency to bear grudges, suspiciousness, tendency to interpret others' actions as hostile, persistent tendency to self-reference, or a tenacious sense of personal right.[4] Patients with this disorder can also have significant comorbidity with other personality disorders, such as schizotypal, schizoid, narcissistic, avoidant, and borderline.
^Cite error: The named reference Bienenfeld was invoked but never defined (see the help page).
^Waldinger, Robert J. (1 August 1997). Psychiatry for Medical Students. American Psychiatric. ISBN 978-0-88048-789-4.
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