What is Paranoid Personality Disorder? | Comprehensive Review

This video answers the question: Can I conduct a comprehensive review of Paranoid Personality Disorder?

I will review the definition, history, etiology, comorbidity, and treatment of the disorder.

Paranoid Personality Disorder is characterized by a pervasive pattern of distrust, suspiciousness, and hostility. It is a Cluster A Personality Disorder, which is the odd and eccentric cluster.

In the DSM we see that Paranoid Personality Disorder has seven symptom criteria, four or more are required for diagnosis:
1. believes that others are deceiving, exploiting, or harming them even though the evidence does not support that conclusion
2. preoccupation with unjustified doubts about the loyalty of friends or colleagues
3. reluctant to confide in others, fearful that the information will be used against him
4. interprets benign remarks as demeaning or threatening
5. persistently bears grudges
6. believes that their character or reputation as being attacked and quickly reacts with anger
7. believes spouse or partner is unfaithful, without justification

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

Triebwasser, J., Chemerinski, E., Roussos, P., & Siever, L. J. (2013). Paranoid Personality Disorder. Journal of Personality Disorders, 27(6), 795–805. doi:10.1521/pedi_2012_26_055

Birkeland, S. F. (2013). Psychopharmacological treatment and course in paranoid personality disorder. International Clinical Psychopharmacology, 28(5), 283–285. doi:10.1097/yic.0b013e328363f676
Adrian Furnham and John Crump, A Big Five Facet Analysis of a Paranoid Personality Disorder, Journal of Individual Differences 2015; Vol. 36(4):199–204

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[Pagan-of_GoodTimes]

You basically described my mother to perfection. I've tried to understand her for years & I think I get it now. Thank you. ❤

[zpxopop]

I have PPD. It's serious asf and not something to take lightly; living with this is no joke. It's like having an alarm that goes off every time you feel in danger/threatened, but the alarm is broken and severely overreactive. Everywhere I go, I'm always expecting a confrontation, I see people and I instantly start thinking what devious motive they're trying to use against me, I'm always thinking my friends and families have secrets against me and that I need to find them out. Anger is a big part of PPD, i get pissed off a lot; can't forgive jack shit, someone wrongs me 10 years ago its as fresh as yesterday

[macmedic]

5:08 "Irish Alzheimer's": a condition where you forget everything except a grudge

[crayonpaws]

This is one of the only videos ive seen where it didnt feel like i was being demonised, thank you.

[fasteverything]

Hello Dr. Grande,

I wanted to thank you for not only making this video but also the original one from two years ago. For years I've always knew there was something "wrong" with myself, I was aggressive and hostile in situations where it wasn't called for and when called out on my behavior, I'd get more hostile. Looking back on these moments, I realize these people were right to call me out, even if I didn't like it at the time. I initially thought I had anger issues and tried to do research on the subject, but nothing seemed to "fit" until I deviated into research about personality disorders. There's a long history of mental illnesses in my family, including personality disorders, so it wasn't that far of a reach to think I might have something in this category as well.

Then I found your videos, had a revelation, read what little articles there are about PPD, did a lot of introspection over months, and while I'm not yet professionally diagnosed, I am very certain that I have PPD. I'm looking forward to receiving CBT and learning stress management. My anxiety is through the roof and hovering somewhere in the stratosphere. It's horrible to live like this, and I don't know whether or not knowing that I have PPD makes things worse or not, because now I overthink things and doubt myself. Is it just my paranoia or are my feelings about a situation justified? My trust in people, including my own family, has always been near non-existent. Hopefully therapy will help with that. I can only do so much on my own.

It also hurt to hear that PPD might be removed from the DSM, because this thing is the only thing that accurately describes what I experience on a daily basis since early childhood. Literally nothing else fits. It is very very VERY hard to be open about my PPD, but I can't keep discounting my hostility as just being a jerk, because that's not who I am. It's an extremely toxic behavior too, and I don't want to hurt the people around me anymore, including myself. I also hope to have the courage to start a series on YouTube about PPD and spread awareness.

So, again, thank you for making these videos on paranoid personality disorder. You've helped me set down a path toward recovery and a deeper understanding of myself.

[yourenough]

Whoop whoop 200k, Dr. Grande your channel has grown fast in a short amount of time. If anyone deserves a congratulation it you sir. Thank you!!!! Great topic. 🌷💮🏵🌷🌹🌺🤩

[DaniM]

Thank you for sharing your insight on this topic. I’m a social worker and I have clients with PPD. In my experience, setting firm boundaries, being honest & clear, and foreshadowing any potential disruptions in routine can be helpful. I would appreciate more feedback/info on how to work with this population.

[heavymetal]

I think a lot of the paranoid disorders are from are from lifelong incidences of people letting one down. And overthinking things of course just my opinion.

[joselassalle]

You just described my wife! She refuses treatment. This condition is devastating for the loved ones. Sometimes I feel I can't deal with her any longer.

[lillierose]

I wasn't so paranoid about people's intentions until I experienced so much trauma. I then became very overly weary of people. Especially new people who I don't know very well. The slightest sign of a red flag and I run. I cut ties. I just keep to myself, keep my head down and stay out of people's way these days. I don't think it's PPD, rather a trauma response. But it feels similar. I do cognitive behaviour therapy to try to calm my thoughts, but it seems I get more relief from the anxiety if I just stop associating with the perceived threat. It's lonely.

[cliffordbodine]

I have had PPD since the age of 17 and am now in my 60's. I fit all of the diagnostic criteria for PPD, except for suspecting that my spouse is being unfaithful. I believe that my PPD was caused by excessive and incessant bullying in elementary and junior high school. Thanks for posting this video.

[b-k-creations]

This is incredible. I have been so worried about the partner I had to leave, because of the hostility and accusations I received. It was terrifying. Literally, stage-by-stage you have pinned down my experience. I am completely amateur and untrained, and have hunted high and low, read articles, joined groups, asked questions, I was stuck between PPD and NPD, and wondered if the two might be a possibility. That, or maybe there is something wrong with me. But he has ended up isolated, and I am fearful for his future. He rejects everyone eventually, for the slightest non-comment. And I daren't tell him. But thank you so much for this. It's incredibly clear and informative.

[eagleeye]

Thanks, Dr. Grande... You make complex information understandable. This information is very helpful in moving through life in today's world. where it seems that there is an abundance of troubled people.

[cjzanders]

Please do a video on the relationship between people who think they’re victims of “Gang Stalking, ” and Paranoid or Schizotypal personality disorder. Gang stalking is very relevant and pervasive even on YouTube. Thanks Dr. Grande!

[cvdevol]

How many people, or what percentage of the adult population, have no psychological disorders whatsoever? These exhaustive lists of disorders seem to include everyone I have ever met!

[rejaneoliveira]

Congratulations on 200k!!!🥳🍾👏🏼
What a great achievement Dr. Grande, you earned each one of your subscribers due to your professionalism, hard work and delivery of outstanding videos! I am so happy for you and I wish you get many more subscribers!!

About the video- this was a fantastic analysis! I personally enjoyed this video very much because I know someone who presents all the signs of PPD. In fact, that’s how I found your channel, because I thought something was not right and I wanted to understand if there was a disorder behind the peculiar behavior.
That being said, after understanding this condition I was able to really have more compassion for this person and provide encouragement to seek treatment.
Thank you again and again for your outstanding work Dr. Grande!

[KittehNow]

You are a master speaker, making it so much easier to understand. Thank you for the help you have provided for me and I'M SURE for so many others.

[robertrochester]

I believe you nailed it with this one. I appreciate your scientific approach, instead of a casual condescending one. I believe PPD and other personality disorders specifically in cluster A to be MASSIVELY misunderstood. Thank you.

[malabuha]

Congrats on 200k :) it's a great channel with interesting content

[alexmack]

i stumbled across this video looking for the did ones, i suffer from ppd and it made me really happy to see it so well explained. i try to be open with my loved ones about my ppd but of course i find it really hard- i don't like telling people because i don't want it to be used against me and i don't like to leave a paper trail. i'm definitely going to show this video to people in the future when i want to attempt to explain it. thank you.