Paranoid personality disorder

Persistent mistrust, grievance accumulation, suspicious interpretation, rigidity

RoutineReview due

Compare (7)

At a glance

High-risk causes: 3
Related differentials: 6

Safety snapshot

Watch forTargeted grievanceretaliatory violencehidden psychosis

Presentation hinge

Interpersonal sensitivity, fear of abandonment, identity disturbance, recurrent dysregulation.

Separates the Personality-Related Interpersonal Conflict / Antisocial Conduct group. It is not specific to Paranoid personality disorder.

Clinical review

Rows marked “Whole group”: Applies to the Personality-Related Interpersonal Conflict / Antisocial Conduct group — not specific to Paranoid personality disorder

Why it fits

Persistent mistrust, grievance accumulation, suspicious interpretation, rigidity

Key features

Must-not-miss

Targeted grievance, retaliatory violence, hidden psychosis.

High-risk causes3 causes

Targeted grievance
retaliatory violence
hidden psychosis

Bedside question

Applies to the Personality-Related Interpersonal Conflict / Antisocial Conduct group.

Interpersonal sensitivity, fear of abandonment, identity disturbance, recurrent dysregulation.

Helpful clues

Immediate action

Applies to the Personality-Related Interpersonal Conflict / Antisocial Conduct group.

None listed

Priority steps

Investigations

Applies to the Personality-Related Interpersonal Conflict / Antisocial Conduct group.

None listed

Core tests

Mimics / overlap

Applies to the Personality-Related Interpersonal Conflict / Antisocial Conduct group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.