Bipolar Central
Devoted to Helping Those Living
with Bipolar Disorder

Click Here for Your Free Bipolar DVD
Home | About Bipolar Disorder | About David Oliver | Bipolar Articles/Stories | Bipolar Success Stories | Blogs and Podcast | Catalog | Contact | Current Bipolar News David Oliver In the News | Donate | Events | FAQ's | FREE Resources | Health Directory | Other Illnesses | Recommended Sites | Site Map | Speaking | Testimonials
FOLLOW US!
Simple yet effective strategies to cope with your loved one.

Paranoid Personality Disorder (PPD)

Paranoid Personality Disorder (PPD) is characterized by an all encompassing distrust and suspicion of the motives of others and a belief that their intent is malevolent. This suspicion may be exhibited in argumentative behavior, or recurrent complaints about others. Patients with Paranoid Personality Disorder often appear cold, objective and rational, and frequently display hostile, stubborn, and sarcastic behavior. PPD patients form negative stereotypes and beliefs about others and often join cults or groups that share their paranoid belief system. Patients can be distant and cold even in intimate relationships, and may become controlling or jealous if they are emotionally attached to another person. They don’t like changing situations and will attribute hidden motives to even the most innocent and positive acts of others. When they believe their suspicions are confirmed, they will sometimes react with frighteningly hostile behavior. Patients often take legal action against others when they feel righteously indignant about an offense.

At work, they can be very efficient though they work best in jobs where they are isolated from interaction with others. Paranoid Personality behavior can exhibit a continuum from normal vigilance to transient paranoid behavior and suspiciousness that may range from delusional states to paranoid schizophrenia. PPD is distinguished from psychosis by the lack of full-blown delusions or hallucinations. PPD patients can be arrogant or vulnerable at times, and may alternate between shame or self-loathing and a feeling of omnipotence or righteousness. They are intensely afraid of domination, and loss of autonomy, and will attempt to exert power to avoid perceived abuse from people in authority.

Patients with Paranoid Personality Disorder struggle with fear of abuse, exploitation, or harm from others and they believe the world is a hostile place. Their rage masks an abiding sense of inferiority.

The cause of paranoid personality disorder is not known, but research seems to indicate that it is more common in families with schizophrenia and delusional disorder. PPD can appear in childhood and adolescence with evidence of solitary behavior, poor peer relationships, hypersensitivity to others, peculiar thinking, and interpretation of the behavior of others.

What are the symptoms?

  • Interprets behavior of others as deliberately threatening or insulting
  • Jealous, guarded, secretive, cold, serious, scheming
  • Suspicious of sexual infidelity
  • Inability to collaborate with others, social isolation, detachment
  • Holds grudges, is not willing to forgive perceived insults and malice
  • Untrusting, prone to anger and aggression without justification because of perceived disloyalty or deceit
  • Inflated view of self, need to be in power and control at all times
  • Combatively protects personal rights
  • Looks for hidden motives, reluctant to confide in others
  • Reads malignancy into innocent comments and actions of others

How is it diagnosed and treated?

In diagnostic screening, doctors must distinguish PPD from symptoms associated with chronic substance abuse. Doctors will perform a physical and mental evaluation to rule out other medical and mental disorders. Paranoid Personality Disorder is ultimately diagnosed, based on psychological evaluation and the history and severity of the symptoms, considering repetitive patterns of behavior or perceptions that cause distress and impair social function. The doctor will look for the following beliefs:

  • Patient believes disaster is always on the horizon, has a sense of foreboding at all times
  • The world is full of enemies
  • The patient is never to blame
  • Believes that accidents are unlikely and that all negative events stem from hostile acts of others
  • All occurrences relate to the patient
  • Patient has unique awareness and insight and is different from everyone else in that knowledge

Treatment(s) can include:

  • Psychotherapy
  • Medications like anti-anxiety, anti-depressants if appropriate (moderately effective in treatment of irritability and suspiciousness), anti-psychotic if warranted by delusions, neuroleptics for low-grade paranoia. SSRIs and neuroleptics may be used effectively in combination
  • Self-Help groups, family self-help groups

Index of Articles

Statistics

The prevalence of Paranoid Personality Disorder (PPD) is estimated to be 2% to 10% of patients treated in mental health clinics.

This personality disorder appears to be more common in males, than in females.

In a study of the U.K. Department of Health: 0.002% of hospital consultations were for paranoid personality disorder. Of those, 92% required hospital admission, 97% occurred in patients aged 15-59, 1% occurred in people over 75

If you are in a crisis please call:
1-800-SUICIDE (784-2433) or
1-800-273-TALK (8255)


Search Bipolar Central


FREE Bipolar News,
Tips, Tricks and Secrets
Name:
Email:
Please Select:
  Please describe your situation:

Loved One With Bipolar Disorder?
Discover How to Help Your Loved One Live with Bipolar Disorder

Do You Have Bipolar Disorder?
Learn the Secrets to Living with Bipolar Disorder

Child With Bipolar Disorder?
Learn How to REALLY Help

Dating Someone With Bipolar?
Secrets to a Successful Relationship

Marrying Someone With Bipolar?
Learn How to Support Your Spouse

Need Money Because of Bipolar Disorder?
Learn How to Be Successful

Drug Addiction and Bipolar Disorder
Secrets to Beating Drug Addiction

Need Affordable Health Insurance?
Information You Can't Live Without If You Have Bipolar Disorder

In Debt Because of Bipolar Disorder?
Get out of debt fast!

Improve Your Emotional Health
Reduce Your Stress Levels and Increase Your Brain Power



This Week's Bipolar News

Woman Sentenced to Seven Years In Prison For Death of UF Student
wuft
... Corps, events that Sager said have led her to suffer from bipolar disorder, post-traumatic stress disorder, alcohol abuse and an eating disorder.

Stronger Neural Connections May Trump Genetic Risk for Bipolar Disorder/a>
the-scientist.com
Bipolar disorder often runs in families, but genetics alone don't determine whether one develops the disease, says Sophia Frangou of the Icahn ...

Understanding bipolar
swinburne
ORBIT compares two, five-week, online interventions designed to improve quality of life for people who experience bipolar disorder. The interventions ...

Click here for all Bipolar News.

RSS Feed

Featured Article:

The Warning Signs Of An Impending Bipolar Disorder Manic Episode

Bipolar disorder - as the name implies - involves two distinct set of symptoms. One set throws the individual down into the depths of a massive depression. The other places the individual who suffers with bipolar disorder at the top of a peak manic episode.

Most everyone can eventually recognize the warning signs of an impending depressive episode related to bipolar disorder. More likely than not, individuals with bipolar disorder try very hard to avoid it.

However, for many individuals with bipolar disorder, it's more difficult to recognize the signs of an impending manic episode. After all, a manic episode of bipolar disorder can be mistaken in some cases - especially in the very early formation -- for the lifting of the corresponding mood swing of the depression.

Click here to read the entire article

Stop Panic Attacks

Fat Burning Secret

Home | About Bipolar Disorder | About David Oliver | Bipolar Articles/Stories | Bipolar Success Stories | Blogs and Podcast | Catalog | Contact | Current Bipolar News
David Oliver In the News | Donate | Events | FAQ's | FREE Resources | Health Directory | Other Illnesses | Recommended Sites | Site Map | Speaking | Testimonials
The information contained on this web page is not meant to provide medical advice.
Specific medical advice should be obtained from a qualified and licensed health-care practitioner.
There is no warranty that the information is free from all errors and omissions or that it meets any particular standard.

Terms of Service | Privacy Policy

Copyright 2004- 2017 , BipolarCentral.com