What Is the Treatment For Paranoid Personality Disorder?

Paranoid personality disorder is a type of personality disorder. The number in the general population is unknown. They rarely ask a doctor. If a spouse or colleague accompanies them for treatment, they tend to deny or justify, making it difficult for the therapist to discern the truth. They often find it difficult to extricate themselves and fall into unspeakable pain. According to survey data, the number of people with paranoid personality disorder accounted for 5.8% of the total number of psychological disorders. Because such people have little self-knowledge, they have a denial attitude toward their own biased execution, and the actual situation may exceed this proportion. When he realized this problem, he was hard to change. When asking for help from the outside world, it is difficult for others to keep their guidance for a long time, and then they fall into the former state. I also often dredge myself in many ways to get out of my predicament but it is difficult. The prevalence is 0.4% to 1.6%. More common in men.

Basic Information

English name

paranoidpersonalitydisorder

Visiting department

Department of Psychology

Common causes

Early loss of love, frustration the day after tomorrow, self-demand, and abnormal situation

Common symptoms

Stubborn, sensitive, suspicious, overly alert, narrow-minded, and jealous

Contagious

no

Causes of Paranoid Personality Disorder

Early loss of love

Childhood lives in a family environment that is not trusted and often rejected. Lack of motherly love is often blamed and denied. Single-parent families are more likely to have children with paranoid personality!

2. Acquired the day after tomorrow

Sustained by life, growing up, often encounters setbacks and failures. If often insulted or wronged.

3. Self-demand

The self-requirement standard is extremely high, and it constitutes a sharp contradiction with its own defects. But he never publicly acknowledges some of his flaws. For example, you are not tall, you are not outstanding, you are not outstanding, etc. In fact, deep consciousness is inferior to this.

4. Abnormal situation

Some unusual situations also make people paranoid. For example, people who do not have a degree in education are disgusted by people who talk about education and have a poor financial situation.

Clinical manifestations of paranoid personality disorder

Generally starting in early years, such out-of-normal personality has constant and difficult to change once it is formed. Intelligence is not low, but some aspects of personality are very prominent and excessively developed, and I lack the right judgment on my personality defect.

Stubborn, sensitive and suspicious, over-alert, narrow-minded, and jealous; self-evaluation is too high, experiencing himself is too important, tends to be objective, refuses to accept criticism, and is overly sensitive to setbacks and failures. If challenged, disputes occur, sophistry, Even impulsive attacks and combativeness; there are often certain overpriced concepts and insecurity, unpleasantness, and lack of humor; such people are often in a state of alertness and tension, looking for grounds for suspicion and prejudice against others, neutral or well-meaning Distorted movements and hostility and contempt, lack of correct evaluation of the context of the situation; prone to pathological jealousy. Such people are generally self-consistent and will not actively or passively seek help from a doctor. They usually appear in petition departments or forensic psychiatry.

Diagnosis of Paranoid Personality Disorder

Clinical diagnosis was based on case collection, examination, and control of diagnostic criteria for personality disorder.

The characteristics of ICD-10F60.0 paranoid personality disorder are:

1. Too sensitive to setbacks and rejections;

2. Prolonged revenge, that is, unwilling to forgive insult, injury or contempt;

3. Suspicion, and a general tendency to experience distortions, that is, misunderstanding others' unintentional or good behavior as hostility or contempt;

4. Combatting and stubbornly defending individual rights that are not commensurate with the real environment;

5. Suspicious, unfounded doubts about the loyalty of a spouse or sexual partner;

6. The tendency to see yourself as overly important as a continuous self-citation attitude;

7. Interpret the events directly related to the patient and all forms of the world as unfounded preemptive notions of "conspiracy."

Paranoid personality disorder treatment

Drug treatment

Patients should be checked for comorbidities when developing a medication plan. Combined treatment for patients with anxiety and depression can be given symptomatic treatment with antidepressants and anxiolytics, and it is recommended to take medication under the guidance of a doctor.

2. Psychotherapy

The basic principle of psychotherapy for paranoid personality therapy is that the psychological counselor uses the psychological principles to explain the symptoms of the visitor to assist the patient to understand his own psychological dynamics and illness, especially the depressed desire, hidden motivation, or There is an understanding and understanding of the irreversible complex. The scope of treatment should include inner spirit, interpersonal relationships, and realistic adaptation. The ultimate goal is to promote the maturity of self-character.

(1) Cognitive improvement method Because patients do not trust others and are sensitive and suspicious, they will not accept any kind advice. Therefore, they must first establish a trust relationship with them, exchange emotions on the basis of mutual trust, and fully introduce them to their own personality disorders. The nature, characteristics, harmfulness and corrective methods of the traits enable them to have a correct and objective understanding of themselves, and consciously and voluntarily produce the desire to change their personality defects. This is a prerequisite for further psychotherapy. Homework is an essential part of cognitive therapy. In the final consultation phase, homework should serve prognosis and relapse prevention.

(2) The dating training method encourages them to actively engage in dating activities, learn to trust others in dating, and eliminate uneasiness. The principles and essentials of friendship training are: Meet sincerely and make sincerity. As far as possible, give active friends as much help as possible. Pay attention to the "psychological slogan principle" of making friends.

(3) Self-treatment People with paranoid personality like to go to extremes, which is related to their irrational ideas in their heads. Therefore, in order to change paranoid behavior, paranoid personality patients must first analyze their irrational ideas.

(4) Hostility correction training method Paranoid personality disorder patients are apt to be full of hostility and distrust towards others and the surrounding environment. The following training methods are adopted to help overcome hostility and confrontation. Always remind yourself not to be caught in the vortex of "hostility." Understand the basic principle of respect only if you respect others. Learn to smile at everyone you know. Learn to be patient and patient in life.

(5) Sand table game counselling can help them integrate personality and restore mental health. The subconscious analysis of the patient helps the consultant to formulate an effective consultation plan for the patient.

Prognosis of paranoid personality disorder

The process of paranoid personality disorder is a long one, and it is the case for a lifetime, and it may be a prelude to paranoid schizophrenia. With age, personality tends to mature or stress decreases, and paranoid traits mostly ease.