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Par

anoidpersonali
tydi
sor
der(PPD)isaty
peofeccent
ri
cper
sonali
tydi
sorder
.Aneccent
ri
c
per
sonali
tydisor
dermeansthattheper
son’
sbehavi
ormayseem oddorunusual
toother
s.

*
Recentr
esear
chhassuggest
edt
hatPPDconsi
stbot
hsuspeci
soussandhost
il
it
yel
ement
s

*PPDar
enotusual
l
yPsy
chot
ic,
Str
esst
imet
heymayexper
iencePsy
chosi
s,

Causes

Thecauseofpar anoidper sonal


i
tydisorderi
sunknown.Howev er
,resear
cher
sbeli
evethata
combinati
onofbiologicalandenvir
onment alf
act
orscanleadt oparanoidper
sonal
it
ydisorder
.
Itappear
stobemor ecommoni nfamili
eswithpsychot
icdisorderssuchasschi
zophreni
aand
delusi
onaldi
sor
der, whichsuggeststhatgenesmaybei nvolved.

*Par
ent
alNegl
ectorabuse

*Exposur
etov
iol
entadul
t

Sy
mpt
oms

Suspi
cion

Concer
nwi
thhi
ddenmot
ives

Expect
stobeexpl
oit
edbyot
her
s

I
nabi
l
ityt
ocol
l
abor
ate

Soci
ali
sol
ati
on

Poorsel
fimage

Det
achment

Host
il
it
y

Pr
eval
ance

0.
5%t
o2.
5%

GenderDi
ff
erence

Menmor
eli
kel
ythanwomen.
Accor
dingt
otheCl
evel
andCl
i
nic,
PPDappear
stobemor
ecomm
oni
nment
hanwomen

onset

PPDusual
l
yappear
sinear
lyadul
thood.

Comor
bidi
ti
esar
ecommon.

Paranoidpersonali
tydisorderisrarel
ythesol ediagnosis.Commoncomor bidi
ti
esincl
ude
thoughtdisorder
s(eg, schi
zophrenia),
anxietydisorders(eg,social
phobi
a[soci
alanxi
ety
disor
der])
,posttr
aumat icstressdisor
der,alcoholusedi sorder
s,andanot
herpersonal
i
ty
disor
der(eg,borderl
ine).

Tr
eat
ment

Astrongtherapist-
cli
entrel
ati
onshi
poffer
st hemostbenefi
ttopeoplewit
hthedisor
der,
yetis
extr
emelydiffi
culttoestabl
ishduetot
hedr amati
cskepti
cism ofpat
ient
swiththi
scondi
tion.
Peoplewithparanoidpersonali
tydi
sor
derrarelyi
nit
iat
etr
eatmentandoftenter
minatei
t
prematur
ely.

Medicat
ionscanalsobehelpful
,especial
l
yifthepersonwi
thPPDhasot
herr
elat
edcondi
ti
ons
suchasdepressi
onoranxietydi
sorder.Medicat
ionsmayincl
ude:

ant
idepr
essant
s

benzodi
azepi
nes

ant
ipsy
chot
ics

Combi
ningmedi
cat
ionwi
tht
alkt
her
apyorpsy
chot
her
apycanbev
erysuccessf
ul.

Sahi
dPay
yanur

HOD,
Mar
kazKar
thal
a

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