Diagnostic Criteria for Paranoid Personality Disorder

The DSM-IV-TR which is the diagnostic manual used by the American Psychiatric Association lists the following criteria for a diagnosis of Paranoid Personality Disorder: A. A pervasive and permanent sense of distrust and suspicion of others in that their motives are interpreted as both negative and directed towards the sufferer. The condition develops in early adulthood and continues throughout life unless treatment is sought. For a diagnosis of PPD to be made at least four or more of the following criteria must be met: 1. Suspicion, without adequate proof, that others are exploiting, harming, plotting of deceiving the sufferer. 2. … Continue reading

Paranoid Personality Disorder: Patrick’s Story

In previous discussions about this disorder (see links below), we looked at how the sufferer of paranoid personality disorder (PPD) differs from individuals who experience an episode of paranoia as a result of a schizophrenic or a manic depression episode. Unlike the latter, PPD is a pervasive disorder of the personality, meaning that it is always present and colors the life outlook and beliefs of the sufferer. This is turn causes enormous interpersonal problems, which may or may not be present in the other disorders mentioned above. Patrick is a typical sufferer of PPD. Obsessively religious, he has taken to … Continue reading

Paranoid Personality Disorder: Peter’s Story

Peter is a typical sufferer of paranoid personality disorder (PPD) and finds it difficult to function in both the workplace and in his personal life. Because this condition affects the core personality of the sufferer, it is permanent, pervasive and, as such, the person so afflicted in effectively unaware that there is something wrong with them. As with most of the personality disorders, the sufferers have little insight into their own behaviors, instead blaming others for what is isn’t right in their lives. Peter was by his own admission in a bad situation. He believed his father to be mentally … Continue reading

What is Paranoid Personality Disorder?

All of us have a tendency to be wary of new situations or people who behave unusually. This is quite normal and is hard-wired into our brains as a vital survival tool. But sometimes being too distrustful of others and their motives can interfere with all aspects of a person’s life. Interpersonal relations become strained as the person concerned questions the actions of others, often creating elaborate scenarios in their mind as to the true meaning of what another person said or did. Hence personal relationships with family becomes strained, friends disappear because they tire of the ongoing interrogation of … Continue reading