![]() ![]() Building rapport and trust between the client and therapist is key and may take longer than usual. If those with paranoid personality disorder can commit to treatment, however, they can work to reduce paranoia, improve relationships and learn how to cope with their condition.Ī therapy that has a supportive and person-centred approach tends to work best. Trust is an integral part of talking therapy and as those with PPD can struggle to trust others, this can become an issue and cause people to quit therapy. Psychotherapy will generally focus on increasing coping skills, improving communication skills and boosting self-esteem. If treatment is sought, however, psychotherapy is the preferred option for managing the condition. Often, those with paranoid personality disorder will not see that they have a problem and this can make accessing treatment difficult. This may mean that, by the time they reach their 40s and 50s, they aren’t experiencing the most extreme facets of their condition anymore. In most cases, those with personality disorders will notice a decrease in intensity as they grow older. If it is, however, characteristics must have been present for over a year. Because of this, personality disorders are rarely diagnosed in children and teenagers. Personality disorders are identified by long-standing and ongoing patterns of behaviour. Usually, PPD will not be diagnosed if someone already has a diagnosis of another psychotic disorder such as schizophrenia. Interview and assessment tools are then used to evaluate whether or not someone could have paranoid personality disorder. Usually, a doctor will first carry out a physical examination to rule out any physical causes for the symptoms before referring on to a psychologist or other mental health professional. Personality disorders need to be diagnosed by a mental health specialist. It’s also been found to be more common in those with relatives who have schizophrenia, suggesting a genetic link between the two disorders. Early childhood experiences such as trauma can have a role to play and clinical samples have found it to be more commonly seen in males. It’s likely that a number of factors lead to its development including biological and psychological factors. Like many mental health conditions, PPD has no definitive cause. What causes paranoid personality disorder? This can make diagnosis and treatment difficult. ![]() Some of the symptoms of paranoid personality disorder are similar to other conditions, such as schizophrenia and borderline personality disorder. Sometimes those with the condition also suffer from mood disorders like depression and anxiety, which feeds into and exacerbates their PPD. As this behaviour can offend and upset those around them, they may experience negative reactions which then reinforces their suspicions. To a person with PPD, this behaviour is normal and seems rational.
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