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Dr. Vijayakumar D.R MBBS, DPM, DNB (NIMHANS), CCST (UK)
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Paranoid Personality Disorder

Diagnostic Criteria

A) A  pervasive  distrust  and   suspiciousness  of  others  such  that  their  motives  are  interpreted  as  malevolent,  beginning  by  early  adulthood  and  present  in  a variety  of contexts, as  indicated  by  four  (or  more)  of  the  following:

    1. Suspects,  without  sufficient  basis,   that  others  are  exploiting,  harming,  or  deceiving  him  or  her.
    2. Is  preoccupied  with  unjustified  doubts  about  the  loyalty  or  trustworthiness  of  friends  or  associates.
    3. Is  reluctant  to  confide  in  others  because  of  unwarranted  fear  that  the  information  will  be  used  maliciously  against  him  or  her.
    4. Reads  hidden  demeaning  or   threatening  meanings  into  benign  remarks  or  events.
    5. Persistently  bears  grudges  (i.e.,  is  unforgiving  of  insults,  injuries,  or  slights).
    6. Perceives  attacks  on  his  or  her  character  or  reputation  that  are  not  apparent  to  others  and  is  quick  to  react  angrily  or  to  counterattack.
    7. Has  recurrent  suspicions,  without  justification,  regarding  fidelity  of  spouse  or  sexual  partner.

    B) Dose  not  occur  exclusively  during  the  course  of  schizophrenia,  a  bipolar  disorder  or  depressive  disorder  with  psychotic    features,  or  another  psychotic  disorder  and   is  not  attributable  to  the  physiological  effects  of  another  medical  condition.