How to treat Paranoid Personality Disorder? - Doctor Explains

What is a Paranoid Personality Disorder (PPD)?
As the name suggests it is a cluster A personality disorder. As a mental illness it is characterised by persistent suspiciousness, generalized distrust to others and paranoid delusions.
Patients with PPD are constantly observing the outside world, searching for threats or other signs of dangers to validate their fears and biases. They may be hypersensitive, easily insulted and can’t appreciate other interpretations or evidence.
Their suspiciousness and mistrust causes them to live guarded and constricted lives. In addition patients might reduce meaningful emotional contact with others and quite generally live isolated lives.
Other symptoms may be the tendency to judge other people as hostile, keeping grudges and the tendency to self-reference.

PPD is quite rare, as it affects about 0,5-2,5% of the general population. It is more common among men. Although, exact numbers are unknown.

It is still unclear how a PPD is caused, however it is believed to be caused by a combinations of factors. Biological ones (like paranoid traits) and psychological factors (like the projection of negative internal feelings and the upbringing you have had).

Lastly PPD often occurs in conjunction with other mental health disorders, most commonly other personality disorders (liks schizotypal, schizoid, narcissistic, avoidant and borderline).

The effectiveness of treatments:
Here I want to mention that a key part of treatment is gaining and keeping a patient’s trust. As people with PPD will often start to avoid treatment sessions because they distrust their therapist.
In addition patients with PDD usually do not seek treatment on their own, because they do not see themselves as having a problem. However when a patients does seek treatment, psychotherapy will be one of the best treatment options.

It will aim to increase general coping skills, focussing on trust and empathy. Psychotherapy can also help to improve communication skills, social interaction and boost self esteem. It achieves this by letting patients explore unconscious factors behind their feelings. Which can help to resolve past conflicts that may cause current problems.

In addition, several medications might be prescribed if a patient’s symptoms are severe. Anti-anxiety, antidepressant and anti-psychotic drugs are often prescribed and can be helpful.
These could also be used to treat co-occuring mental health disorder. For example, if a patients is also suffering from a depression, antidepressant might be useful.

Ultimately it is best to discuss these treatment options with your physician to identify which ones are most suitable for you.

- Disclaimer: this video and the comments are meant purely informational! This is not medical advice! If you are looking for medical advice always contact your own doctor. -

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Literature:
1: Clevelandclinic. (2017). Paranoid Personality Disorder.
2: Cherry K. (2020). Paranoid Personality Disorder. Verywellmind
3: Bhandari S. (2020). Paranoid Pesonality Disorder. WebMD
4: MacManus D. Fahy T. (2008). Personality disorders. Medicine. 36 (8): 436–441.

Music:
1. Verified Picasso, Fish Room
2. Patrick Patrikos, Good Times
3. Patrick Patrikos, Grut
4: Patrick Patrikios. Rockville

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[melonalex.]

to anyone going also through this, its really hard, especially with the social aspect. you are not alone, and i do hope we all can get ourself fixed

[certifiedlovergirl]

I just feel like people can read my mind all the time even when I'm by myself, I feel uncomfortable cause I know they are making fun of me and judging me this is severely affecting my mental health

[zachsouani]

I just feel that certain people are out to get me, even though it’s heavily unlikely. I just feel stupid mistakes made in the past are gonna backfire towards myself and my family. And this is causing sleepless nights…

[cutemonsta]

Anyone going through this







You. Are. Not. Alone. 💜💜💜💜💜💜💜💜💜💜💜💜💜







We will get out of this

[tjtakacs]

I got paranoia, anxiety, and depression feels like the world is out too get me and people are plotting, scary shit doesn’t feel like anything is getting better

[James-cbwv]

I have been researching why I find it difficult to build relationships with others and I came across information about paranoid personality disorder. I am not sure if this is the cause of my difficulties. During my childhood, I had no issues with the people around me, but when I reached my late teenage years, I started to sabotage my relationships with others and sought isolation. Now, whenever I try to get close to someone, I always end up distrusting them and suspecting that they are just using me for their own benefit.

[poopandithurts]

So my sister has PPD, and refuses to acknowledge or believe it. She keeps acting like the whole world is against her, and there is someone always out to get her. She is extremely emotional, so even suggesting any sort of disorder gets her upset. What can I do?
How can I convince her to go and get medical help?

[arthas]

my paranoia started with covid and now im almost paranoid to all things that may cause danger to me, the only thing i could do is make myself busy because i cant accept that i am like this which i am really not

[hawaiiflowers]

I would love more videos. My spouse has paranoid personality disorder. It only became apparent after six years of therapy. The pervasive circle of thought that he displays. It has been very difficult for I and my children. Why did it take so long to be diagnosed? Without the correct diagnosis treatment cannot begin.

[franprudhomme]

I live next door to a woman with this. It took me a while to figure it out only after she became accusatory. It’s truly hurtful to be treated that way after my family and I have been so welcoming and generous to her. 😢

[TheSmizzy]

Feel like everyone is out for me, but it’s true every time it’s my turn for something, something goes wrong and I tweak

I am diagnosed as having major depression and paranoid personality disorder. I hate being this way, it makes me feel like I am cursed.

[mitsukisoliva]

I’m doing all of these treatments but I still feel this from time to time and it is not fun. I’m going through it right now and even keeping up with everything shit just hits the fan 😞

[joemar]

I'm here bcoz of my mother is a paranoid bro im just brushing my teeth and then my mom suddenly scold me saying that im disrespecting her Wtf?

[tigercappy]

Is this caused by a nutrient deficiency or maybe nervous system problems? It seems like trauma can be a trigger obviously with genetic components, but if they start out normal and eventually end up with PPD, something had to happen to cause it..

[ralph]

Highly informative and well explained. Definitely a 👍🏻

[ramranchcowboy]

My Family worsen my paranoia by making fun of me and making me feel I'm different to others.

[olwethumkhize]

I noticed that smoking weed makes me paranoid. Feel like everybody knows I’m high and they just talking about me but when I’m sober I don’t give a damn who says what about me. And I stopped smoking weed 7 months sober this month

[Swenser]

It really does seem there is no treatment. It just must be accepted and dealt with from day to day.

[trashantrathore]

Just yesterday, my elder brother came home in the morning( he lives in a city from where my home is around 50 kms away ) and he started showing paranoid behaviour, like where he lives near his office he lives in an apartment with a roomate and from morning only he came to terrace and starting pointing out a tree in my plot next to home like " are u listening the music ", he started yelling another roommate's name to a nearby house's window like "ABHISHEK!!! " when I asked him why are u doing that, he said " don't you listen they all are telling everything to my girlfriend", next moment he looks at the door and gets paranoid everytime a person passes by or even my father goes out for some work in that same day only i.e yesterday many times repeating " they are coming, can't you listen they are talking loudly, they are bringing Loaded pistol" he keeps asking us 3 members that we should talk in low voice otherwise they would listen and kept on insisting to father that "why don't you have a Gun? " Never ever earlier he has shown behavior like this, then we were getting worried so somehow we got the number of his roommate and got to know what exactly has happened, from past 3 days and nights he was drinking alcohol and listening songs( mostly Rap songs of Aggressive Intensity like killing, blood, Guns and violence) at loud volumes on speaker and his roommate told that he was not eating anything and on empty stomach/ some starters he was just drinking and drinking, then after 2 days of it he called his friend who is same as his behavior and his roommate told when his friend came his intensity of everything doubled and then he started showing signs and I know I will not defend him even he is my blood relation but he did wrong thing when his roommate's gf was there he abused her, tried to betray his roommate by telling roommate's gf things about roommate( here i don't know what he was trying to feed that into that girl's mind was truth or false ) but the thing he did was totally wrong, I must say all this time he was intoxicated with high alcohol, no bath for 5 days, filthy, just drinking and drinking alcohol, then his roommate and other people living in flat sent him home obviously with a scolding( mind it after doing so much wrong things they only scolded him not beat him up ). Then his Paranoid Behavior started showing 1st time in life, ( I want to be clear all rest 3 family members are already fed up by his behavior, actions, doings, drinking habits and that is the reason he lives apart from us, My mom has slapped him atleast 3 times when he drank way much more( at most 1 year back when he used to live in father's home) and starting doings things out of his senses but he is person who has no guilt, no decision making, always ready for drinking alcohol, Aggresive, Anxious, Not Depressed( he can surely make other person depressed in family), Dual personality for home he is different and for outside world he is different, Jealously with everyone( even whom he calls brother and the next moment he abuses them), All negative traits from past 10 years as he is 28 years of age right now), thankless( for what father has ever done and still doing in life for him). I as a brother tried several times using soft words, harsh words, aggresively to feed some good sense into him but no result. He thinks I am smaller than him so why should he listen to me, From earlier I knew he has a massive addiction for alcohol and I tried on calls, messages to him to make him convince that he must strongly consider going into ALCOHOL REHABILITATION CENTRE and guess what he said to me " do one thing u declare me as a mental person that would be good for you!! " What he did with his roommate's gf and things in the apartment somehow reached his own Girlfriend and now he lost everything, Girlfriend, Roommate's trust, Flat, most importantly his Normal Sense. I know he is a cheater who tells his friends some other things and what he does is 100% opposite. But problem in the end is that no matter where he lives its the headache of Family if anything worse happens cause its the same blood relation, I tried several times and occasions to show him the reality but he denied and arrogantly says " its my money I will do whatever I want" so from past 8-10 months I talk least with him but the fact is Mother is a Mother she will protect her child no matter what so in the end from reading this situation, can anyone suggest me what should we do for betterment of him( I want to be more specific that at yesterday night we took him to a Psychiatrist as it was becoming more and more alarming for us to see him this way, Psychiatrist said let him sleep and gave few medicines but in the night he slept late at around 1 AM and wake up at 12 PM in the noon today but still no improvement from his behavior as he came to terrace, there is one room where I study and he came and slept in my bed and told father who was telling him no one is around here to kill him, he said " father this is limit, you should have Gun!!" and currently sleeping in my bed. When I was talking to a friend of mine he overheard that and now he thinks I also have joined hands with his roommate and we all are going to kill him.

Please suggest me what should we do??
ITS URGENT AS I AM SCARED HE MIGHT HARM HIMSELF as HE IS FEARED FOR HIS LIFE.