Paranoia

Posted by Keith on May 18, 1999 at 02:38:48
My best friend of many years suffers from "Paranoid Personality Disorder".  He shows all of the classic signs and symptoms.  I work in the Mental Health field, so I know its distinguishable from a schizoid type disorder, since the delusions are based somewhat in reality........Anyway, can anyone suggest how I can approach him to seek treatment, without causing him to become suspicious of me?  Doea anyone know of any medications that are helpful?

Posted by HFHS.MD-AJ on May 21, 1999 at 10:29:35
Keith,
Paranoid Personality Disorder is characterized by a pervasive distrust and suspiciousness of others, such that their actions are interpreted as deliberately threatening or demeaning.
Schizoid Personality Disorder is a pervasive pattern of detachment from social relationships, and a restricted range of expression of emotions in interpersonal settings.
Psychotherapy is the treatment of choice for people with Paranoid Personality Disorder, if they are motivated for treatment. Antipsychotic medications may be helpful, although there is no clear research to support this. The challenge is to engage such people in treatment without increasing their mistrust. If you consider your relationship with your friend close, it may be helpful to share your concerns with him, and encourage him to enter into treatment.
This response is for general information only. Always contact your physician for any health concerns.
Keywords: Paranoid Personality disorder, psychotherapy