Berman says the traits often occur long-term and can appear at different times in someone’s life or in certain situations. The common thread is that the feelings and behaviors center on fear and usually aren’t based on reality. How severe the symptoms are can vary from person to person. PPD is one of several personality disorders known as Cluster A, which is characterized by eccentric or unusual thoughts or behaviors. What Exactly Is Paranoid Personality Disorder? And, most people with the condition tend to have underlying medical conditions and disorders, including other personality disorders, such as avoidant personality disorder, borderline personality disorder, or antisocial personality disorder. PPD is believed to affect up to 4.5 percent of the population, according to the Cleveland Clinic. “They read into people’s motives, spend a lot of time thinking about people’s motives, or if the person is accepting or rejecting them.” “Someone may have a neutral interaction, but may believe there are underlying layers to what’s really happening,” she says. What’s different about PPD is that it’s rooted in fear-where someone focuses on believing that other people are out to get them, says Erin Rayburn, LMFT, mental health treatment strategist, and owner of Evergreen Therapy. Common symptoms of the disorder are pervasive suspiciousness or distrust, hypersensitivity, and emotional coldness, according to the American Psychological Association.Įveryone may occasionally worry about what others think about them, overthink situations, or read into someone’s comments. PPD is one of 10 clinically diagnosable personality disorders that affect how people think about themselves and others, relate to others, control their behavior, and respond emotionally. “They also might believe others want to harm them in some way or feel as if the motives or intentions of others can't be trusted.” “People with paranoid personality disorder may show behaviors that might seem odd or unusual,” says Alyza Berman, LCSW, RRT-P, founder of Berman Psychotherapy. And, for people with the condition, these feelings and behaviors can be so strong that they interfere with someone’s daily life. These are all signs of paranoid personality disorder (PPD). It is characterized by a preoccupation with orderliness, perfectionism, and control.BEING SUSPICIOUS OF OTHERS, looking for hidden meanings in the things people say and do, getting angry about perceived insults, and holding grudges.
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