What Is Paranoid Psychosis?

Paranoid mental disorders, also known as persistent delusional disorders, are a group of mental disorders with systemic delusions as the main symptom and unknown etiology. If they have hallucinations, they last for a short time and are not prominent. Without delusions, there were no other significant psychological abnormalities.

Basic Information

Also known as
Persistent paranoid psychosis, persistent paranoid disorder
English name
paranoiddisorder
Visiting department
Psychiatry
Multiple groups
After 30 years old
Contagious
no

Causes of Paranoid Mental Disorders

The etiology and pathogenesis are unknown, usually onset after the age of 30, and may be related to the combined effects of genetics, personality traits, and social and environmental factors. Most patients have defects in their pre-illnesses, such as subjective, stubborn, sensitive, doubtful, strong self-esteem, and self-centeredness. , Fantasies, irritability, rejection of criticism, and insecurity. On the basis of personality defects, the social environment (such as failure in love, frustration of promotion, etc.) gradually becomes ill, and the facts are gradually distorted to form delusions. Under the influence of delusions, the conflict between the patient and the surrounding environment increases, thereby further strengthening the delusions. content.

Clinical manifestations of paranoid mental disorders

The content and appearance time of delusions are closely related to the patient's living situation, which is logical, systematic and realistic. It is difficult to judge whether it is delusion or fact without careful screening. The delusion content is often victimized delusion, jealousy delusion, suspected delusion, and exaggerated delusion. Under the influence of the delusion, patients often take the initiative to contact professionals (such as lawyers, petition departments, etc.) to seek help or solve problems, and repeatedly petitioning and reporting Or lawsuits, etc .; jealousy delusions are mostly male, and the main suspect is that the spouse is unfaithful. Therefore, the patient may track and monitor the spouse, occasionally check the spouse's clothing (such as underwear, handbags, mobile phones, etc.), and even violence and attack Behavior; Suspected delusion patients are worried that they have a certain disease, such as worrying about the presence of parasites in their bodies, or that the body is deformed, or that they have a certain odor in the body or mouth, so they are troubled by repeated consultations and examinations, but A negative test result and a doctor's explanation often do not eliminate the patient's concerns and concerns. Depressive symptoms are more common, and some patients have severe depression. Generally speaking, the behavior and emotional response of patients with paranoid mental disorders are consistent with their delusional content.

Diagnosis of Paranoid Mental Disorders

Commonly used diagnostic standards abroad include the American Disease Classification and Diagnostic Statistics Manual DSM-IV-TR, and WHO's International Disease Classification Manual ICD-10. The commonly used domestic diagnostic standards are the Chinese mental disorder classification and diagnostic standard CCMD-3.
ICD-10 classification of mental and behavioral disorders for the diagnosis of delusional disorders: delusions are the most prominent or unique clinical characteristics, delusions must exist for at least three months, and must be the patient's personal ideas, not subcultural ideas. Depressive symptoms and even complete depressive episodes can occur intermittently, but delusions persist without mood disorders. There should be no evidence of brain disease; no or occasional auditory hallucinations; no history of schizophrenic symptoms.
It is usually necessary to distinguish from paranoid schizophrenia and paranoid personality disorder.

Paranoid mental disorder treatment

The treatment of paranoid mental disorders is more difficult. The application of antipsychotic drugs to alleviate psychotic symptoms such as delusions in patients. According to patients' depression and anxiety, SSRIs and benzodiazepines can be selected. Psychotherapy is generally effective for paranoid mental disorders.

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