Ask Dr. Van Pelt

Paranoid personality disorder is a psychiatric diagnosis characterized by paranoia and a pervasive, long-standing suspiciousness and generalized mistrust of others. It generally manifests itself with an enduring pattern of characteristic maladaptive behaviors, thinking and personality traits that are often present from the onset of adolescence or early adulthood. Additionally, these behaviors, traits and thinking tend to be present to the extent that they cause significant difficulties in relationships, employment and other facets of functioning. Many times the patient has multiple failed marriages, businesses and is socially rejected by his peers or former peers.

The patient is often confused and accuses many of being involved in "conspiracies" against him or her. They will manifest delusions of grandeur to compensate for the hidden fears that 'enemies' are out to get them.
Symptoms include the following:


1) Suspects, that others are exploiting, harming, or deceiving him or her
2) Is preoccupied with doubts about the loyalty or trustworthiness of friends or associates
3) Reads benign remarks or events as threatening or demeaning.
4) Persistently bears grudges, i.e., is unforgiving of insults, injuries, or slights
5) Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
6) Has recurrent suspicions, regarding fidelity of spouse or sexual partner.

The symptoms are generally controlled through medication and psychotherapy.


Oh, and Sam says GREAT! and that he looks forward to working with your team. Please contact him as soon as possible for an appointment.