Paranoid personality disorder

Chronic distrust, guardedness, hostile attribution

UrgentReview due

Compare (7)

At a glance

High-risk causes: 3
Related differentials: 6

Safety snapshot

Watch forEscalating conflicttreatment refusalretaliatory aggression

Presentation hinge

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Separates the Delusions / Paranoia / Thought Interference / Command Phenomena group. It is not specific to Paranoid personality disorder.

Clinical review

Rows marked “Whole group”: Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group — not specific to Paranoid personality disorder

Why it fits

Chronic distrust, guardedness, hostile attribution

Key features

Must-not-miss

Escalating conflict, treatment refusal, retaliatory aggression.

High-risk causes3 causes

Escalating conflict
treatment refusal
retaliatory aggression

Bedside question

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

Often fixed, systematised, accompanied by hallucinations, thought disorder, or negative symptoms.

Helpful clues

Immediate action

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Priority steps

Investigations

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Core tests

Mimics / overlap

Applies to the Delusions / Paranoia / Thought Interference / Command Phenomena group.

None listed

Consider

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