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Individuals with paranoid personality disorder are generally difficult to get along with and often have problems with close relationships.Their excessive suspiciousness and hostility may be expressed in overt argumentativeness, in recurrent complaining, or by quiet, apparently hostile aloofness.Many people with paranoid personality disorder don’t seek out treatment.People with personality disorders, in general, do not often seek out treatment until the disorder starts to significantly interfere or otherwise impact a person’s life.A personality disorder is an enduring pattern of inner experience and behavior that deviates from the norm of the individual’s culture.The pattern is seen in two or more of the following areas: cognition; affect; interpersonal functioning; or impulse control.If a person has this personality disorder, research suggests that there is a slightly increased risk for this disorder to be “passed down” to their children.Treatment of paranoid personality disorder typically involves long-term psychotherapy with a therapist that has experience in treating this kind of personality disorder.

For more information about treatment, please see paranoid personality disorder treatment.Individuals with this disorder assume that other people will exploit, harm, or deceive them, even if no evidence exists to support this expectation.While it is fairly normal for everyone to have some degree of paranoia about certain situations in their lives (such as worry about an impending set of layoffs at work), people with paranoid personality disorder take this to an extreme — it pervades virtually every professional and personal relationship they have.Paranoid personality disorder is more prevalent in males than females, and occurs somewhere between 2.3 and 4.4 percent in the general population, according to the American Psychiatric Association (2013).Like most personality disorders, paranoid personality disorder typically will decrease in intensity with age, with many people experiencing few of the most extreme symptoms by the time they are in their 40s or 50s.

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