Paranoid Personality Disorder is not amenable to antipsychotic medications as there are not typically gross deficits in reality testing, and the paranoid thought content and beliefs are typically-non bizarre. Persons with Paranoid Personality Disorder may develop brief psychotic reactions under stress, but by definition, a brief psychotic episode is discrete and does not endure. Paranoid Personality Disorder is a non-psychotic disorder, in that it is a discrete diagnosis involving one's dysfunctional and maladaptive personality characteristics, rather then a thought or mood disorder. They will be highly critical of others, but will respond to criticism of themselves with hostility or defensiveness. Generally they have a difficult time getting along with others People with Paranoid Personality Disorder tend to do poorly with group activities and collaborative projects. They may appear guarded and secretive, very rational, logical, and unemotional, but at times will be sarcastic, hostile, and rigid. They tend to be aloof, cold, distant, argumentative, and frequently complain. Persons with PPD are hypervigilant to physical, verbal or social attacks, and do not trust others, and therefore tend to have few if any close or intimate associates. Paranoid Personality Disorder is referred to as a Cluster A personality disorder, which involve “ odd or eccentric “ behavior patterns (Esterberg, Goulding, & Walker, 2010). PPD (Paranoid Personality Disorder) is a DSM-5 (Diagnostic and Statistical Manual of Mental Disorders, fifth edition), diagnosis assigned to individuals who have a pervasive, persistent, and enduring mistrust of others, and a profoundly cynical view of others and the world (American Psychiatric Association, 2013). DSM-5 Category: Personality Disorders Introduction
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