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What Are The Symptoms Of Paranoid Schizophrenia

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What Can Trigger Schizophrenia

The causes of schizophrenia are not known, but researchers claim that there are different factors that play their role in triggering the condition.

Some of these factors are physiological, psychological, or environmental.

Please make sure to let us know what you think about the article as well as your comments and suggestions regarding the condition, below in the comments section.

Articles On What Is Paranoid Schizophrenia

Paranoid schizophrenia, or schizophrenia with paranoia as doctors now call it, is the most common example of this mental illness.

Schizophrenia is a kind of psychosis, which means your mind doesn’t agree with reality. It affects how you think and behave. This can show up in different ways and at different times, even in the same person. The illness usually starts in late adolescence or young adulthood.

People with paranoid delusions are unreasonably suspicious of others. This can make it hard for them to hold a job, run errands, have friendships, and even go to the doctor.

Although it’s a lifelong illness, you can take medicines and find help to stop symptoms or make them easier to live with.

Family Education And Support

Educational programs for family members, significant others, and friends offer instruction about schizophrenia symptoms and treatments, and strategies for assisting the person with the illness. Increasing key supporters understanding of psychotic symptoms, treatment options, and the course of recovery can lessen their distress, bolster coping and empowerment, and strengthen their capacity to offer effective assistance. Family-based services may be provided on an individual basis or through multi-family workshops and support groups. For more information about family-based services in your area, you can visit the family education and support groups page on the National Alliance on Mental Illness website.

Paranoia And Delusional Disorders

Paranoia involves intense anxious or fearful feelings and thoughts often related to persecution, threat, or conspiracy. Paranoia occurs in many mental disorders, but is most often present in psychotic disorders. Paranoia can become delusions, when irrational thoughts and beliefs become so fixed that nothing can convince a person that what they think or feel is not true. When a person has paranoia or delusions, but no other symptoms , they might have what is called a delusional disorder.  Because only thoughts are impacted, a person with delusional disorder can usually work and function in everyday life, however, their lives may be limited and isolated.

Delusional disorder is characterized by irrational or intense belief or suspicion which a person believes to be true. These beliefs may seem outlandish and impossible or fit within the realm of what is possible . Symptoms must last for 1 month or longer in order for someone to be diagnosed with delusional disorder.

What are signs of paranoia?

Symptoms of paranoia and delusional disorders include intense and irrational mistrust or suspicion, which can bring on sense of fear, anger, and betrayal. Some identifiable beliefs and behaviors of individuals with symptoms of paranoia include mistrust, hypervigilence, difficulty with forgiveness, defensive attitude in response to imagined criticism, preoccupation with hidden motives, fear of being deceived or taken advantage of, inability to relax, or are argumentative.


What We Recommend For Schizophrenia

Paranoid Schizophrenia (With images)

If you have Schizophrenia, then ongoing professional counselling may be your ideal first point of call. Counselling will allow you to practice various habits that improve your overall quality of life.


Abnormal Psychology: An Integrative Approach, 7th Edition

Schizophrenia: Understanding Schizophrenia, and how it can be managed, treated, and improved

 Surviving Schizophrenia, 7th Edition: A Family Manual

I Am Not Sick, I Dont Need Help! How to Help Someone with Mental Illness Accept Treatment. 10th Anniversary Edition.

 A Beautiful Mind: The Shooting Script


What Is The Typical Age Of Onset For Schizophrenia

Men and women are equally likely to get this brain disorder, but guys tend to get it slightly earlier. On average, men are diagnosed in their late teens to early 20s. Women tend to get diagnosed in their late 20s to early 30s. People rarely develop schizophrenia before they’re 12 or after they’re 40.

Paranoid Schizophrenic Drowning In Suspicion And Obsession

Typically, a paranoid schizophrenic experiences auditory hallucinations along with deluded thought processes and beliefs. They often believe others plot and conspire against them or their family members. People with paranoid schizophrenia tend to fare better than those suffering from one of the other subtypes. They experience fewer issues with concentration, memory, and emotional apathy, allowing them to function better in everyday life.

What Causes Paranoid Schizophrenia

The exact cause of paranoid schizophrenia is unknown but several risk factors may contribute to the development of the disorder, such as: 

  • Genetics
  • Schizophrenia can run in families
  • Environmental factors
  • It is believed that interactions between the genetic risk and environment may play a role in the development of schizophrenia
  • Living in poverty
  • Treatment And Medical Options For Schizophrenia

    Over the past 30 years, researchers have identified more than 100 genes that may increase the risk of schizophrenia, and they have begun finding novel pathways and making other discoveries that may help identify new targets for drug therapy.

    There is no cure for schizophrenia, and as with many diseases that can be managed but not cured, early detection and treatment are important.

    Seek medical treatment if you or someone you know might be experiencing signs of psychosis or schizophrenia. Early treatment can improve a persons chance for a successful recovery. Whats more, proper treatment helps minimize symptoms and improve quality of life. Yet even after symptoms have ceased and schizophrenia is managed, most people with schizophrenia require ongoing drug and nondrug treatment.

    Causes Of Paranoid Schizophrenia


    Genes are the most significant factor for paranoid schizophrenia. This may run in families. A sibling, relative, or close parent may have schizophrenia. In such a case, the disorder may pass on to a family member. However, other factors may add to it.

    Genes in themselves wont cause such levels of deterioration. Genes make the person more susceptible to schizophrenia. Several triggering factors may account for the formation of schizophrenia.

    Changes in brain structure

    The brain spaces are called ventricles. In schizophrenic people, such ventricles become larger. Usually, they are larger than usual. Some parts of the brain deal with memory. It is the medial temporal lobes. The lobes become smaller in people with paranoid schizophrenia. The brain cells reduce them.

    The brain may lose several tissues over time. There is a grey matter in the brain. It acts as a connecting bridge t connect nerve cells. Schizophrenic people are found to have lesser than average grey matter.

    Changes in brain chemicals

    The chemicals are typically called neurotransmitters. These help control communications within the brain. Two such vital chemicals are glutamate and dopamine. Their main task is to carry messages to cells. It does so along brain pathways. These pathways control thinking, perception, and motivation.

    In paranoid schizophrenia, dopamine is related to hallucinations

    Changes in the environment

    Pregnancy or complication at birth

    Childhood trauma

    Challenges Of Living With Paranoid Schizophrenia: A Patient Case Study

    Its been 30 years since I have been suffering from Schizophrenia. It has been particularly challenging for me to deal with the illness due to the lack of awareness around it and the misconceptions surrounding it.  This may be because no one I knew personally or even as an acquaintance had any personal experience and understanding of Paranoid Schizophrenia. I grew up in a small town where people were completely unaware of mental health disorders. 

    Sometimes people are reluctant to ask me questions as they are afraid of getting personal or hurting me, but now I welcome such questions because such discussions provide insight and understanding. For me sharing my story enables me to help society understand the dreadful experience of living with the condition, which will help clear up some of the stigma associated with the disease in the society and make it easier for sufferers like me.

    The misinformation and stigma circulated on Paranoid Schizophrenia have an invisible effect on the people suffering from it. It must be eradicated and destroyed. My hope is for society to remove such stigma and contribute my bit to society on spreading the truth.

    Of course, there is a stigma associated with this disease. I was fortunate to have many supportive friends and family members around which helped a lot. Otherwise, it wouldnt have been possible for me to come so far in life.

    The Outlook Of Paranoid Schizophrenia

    Not every schizophrenic person develops paranoia. However, borderline and psychotic cases develop paranoia. It is necessary to observe early symptoms. This will help to seek better treatment. Therefore, it will help you lead a better life.

    A schizophrenic person has a distorted perception of life. Common symptoms involve hallucinations and delusions. The delusions are life-threatening. These people may have a constant fear of getting harmed. Someone may hurt them. Or, someone may be watching them. This is a constant train of thought in schizophrenic people.

    For instance, delusional thoughts can be as follows. They may feel television is sending particular messages for them constantly. These thoughts cause more fear and anxiety. It completely disrupts daily life. A person with schizophrenia finds it hard to get along with others. Hence it hinders meetings with friends and family.

    Psychosis Symptoms And What To Do

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    Helpful things to do when someone who has a mental illness is experiencing hallucinations, delusions or paranoia.

    On this page:

    How a person might act:
    • Talking to voices that are not there

    • Talking about a strongly held false belief

    • Talking about something they hear, see or feel that is not there .

    • Behaving oddly because they have a false belief, or because they are hearing, seeing or feeling something that is not there.

    • Being distracted and unable to concentrate.

    Helpful things to do:
    • Avoid arguing with the person about their delusions. Delusions are extremely fixed and difficult to change.

    • Connect with the emotion of the delusion or hallucination e.g. It must be frightening to believe that all your water is poisoned.

    • Calm things downreduce noise and have fewer people around the person.

    • Show compassion for the how the person feels about their false belief. If possible do what you can to help when the person is acutely unwell. e.g.: turn off the TV if they think it is talking to them.

    Note: Unusual beliefs and behaviour may be part of a persons normal belief system or culture. If they are, they may have nothing to do with mental illness.

    How the person might act:
    • Behaving as though they are being followed, tricked or spied on

    • Being overly sensitive and suspicious

    • Being irritable

    • Being aggressive. The person could be afraid because of the delusion and may act out of fear.

    Helpful things to do:
    How the person might act:
    Helpful things to do:

    What Are The Symptoms Of Paranoid Schizophrenia

  • Concluding
  • Paranoid schizophrenia is a common subtype of schizophrenia. One of the common symptoms of paranoid schizophrenia is a delusion. In general, delusional thinking is common among schizophrenic people. Alongside paranoid thoughts persist. This makes it hard to distinguish it from everyday thoughts.

    Paranoid schizophrenia is a brain disorder. American Psychological Association declared the following in 2013. It is considered paranoia as an active symptom of schizophrenia. Later modifications did not consider it as a separate disorder. The disorder is now known as schizophrenia.

    However, the original term has been around for decades. This is why many people are not accustomed to the new term. Hence the terms are used interchangeably at times. Schizophrenia makes it hard to tell any difference. You wont realize if its real or just your thoughts. This will affect the way you perceive the world. The significant changes in thoughts make it hard to stay in the real world.

    Paranoid Schizophrenia: Symptoms Causes Treatment

    Paranoid schizophrenia is one of the 5 main subtypes of schizophrenia characterized by an intense paranoia which is often accompanied by delusions and hallucinations. Most people with paranoid schizophrenia have auditory hallucinations and may experience delusions that people are plotting against them. For example, someone with this illness may believe that their friends are conspiring to poison them. People with this disease may spend a lot of time trying to think of ways to protect themselves from other individuals who they believe are out to get them.

    Of the 5 subtypes, paranoid schizophrenia is the most commonly diagnosed. In comparison to other subtypes, individuals with paranoid schizophrenia are most likely to experience positive symptoms rather than negative symptoms and cognitive symptoms. In other words, they are more likely to be plagued with hallucinations and delusions and have less difficulties with focus, concentration, thinking, and mood. With proper treatment and support, individuals with the paranoid subtype are able to lead productive, stable lives.

    Here Are Some Things You Can Do To Help Your Loved One:

    • Help them get treatment and encourage them to stay in treatment
    • Remember that their beliefs or hallucinations seem very real to them
    • Tell them that you acknowledge that everyone has the right to see things their way
    • Be respectful, supportive, and kind without tolerating dangerous or inappropriate behavior
    • Check to see if there are any support groups in your area

    Some symptoms require immediate emergency care. If your loved one is thinking about harming themselves or others or attempting suicide, seek help right away:

    Signs That Immediate Medical Attention Is Needed

    If the patient is a danger to himself or others and is unwilling to seek treatment, they can be involuntarily committed to a hospital and held for a period of evaluation usually lasting three to seven days. A court order is required for involuntary commitment to be extended.11

    Film and news media have characterized schizophrenia as a violent condition, however, the majority of people with schizophrenia are not violent. The majority of violent crime is committed by individuals who do not suffer from this disorder. The risk of violence in schizophrenia drops dramatically when treatment is in place.12

    Schizophrenia is associated with a higher risk of suicide. If the patient is suicidal contact the National Suicide Prevention Lifeline at 800-273-TALK or call 911 immediately.

  • National Institute of Mental Health. Schizophrenia. Available at: Last updated May 2018. Accessed May 13, 2019.
  • National Institute of Mental Health. What is Schizophrenia? Available at: Accessed May 13, 2019.
  • Nitin Gogtay, Nora S. Vyas, Renee Testa, Stephen J. Wood, Christos Pantelis, Age of Onset of Schizophrenia: Perspectives From Structural Neuroimaging Studies, Schizophrenia Bulletin, Volume 37, Issue 3, May 2011, Pages 504513,
  • Expert Rev Neurother. 2010;10:13471359. doi:10.1586/ern.10.93.

    The High Personal And Collateral Costs Of Paranoid Schizophrenia

    Untreated paranoid schizophrenia can lead to a continual worsening of symptoms and a total loss of touch with reality. Suicidal thoughts and actions commonly plague those with paranoid schizophrenia and the other types as well. If you suspect a family member is showing paranoid schizophrenia signs and symptoms, urge him or her to seek help immediately. If necessary, check into the necessary steps required have your loved one evaluated involuntarily by a psychiatrist.

    Schizophrenia Research And Statistics

    The exact prevalence of schizophrenia is hard to measures, but the NIMH estimates that schizophrenia affects between 0.25 and 0.64 percent of U.S. adults, while the NAMI has put it closer to 1 percent.

    Men typically start to show symptoms of schizophrenia in their late teens or early twenties. Women tend to show symptoms a bit later, usually in their late twenties or early thirties.

    Men are about 1.4 times more likely to be diagnosed with schizophrenia than women.

    Schizophrenia can occur at any age, but it’s less commonly diagnosed for the first time in a person older than 40 or younger than 12.

    Get Help For Schizophrenia

    If you suspect that your loved one is suffering from Schizophrenia, do not be disheartened. With therapy and treatment, they can lead a  normal life free from their symptoms. It is a disease that affects millions around the world, although there are challenges and stigma surrounding the disease, there is hope through timely treatment. 

    When To Ask For The Police

    Symptoms of a Paranoid Schizophrenia

    Most people with schizophrenia are not violent. But just like you would in any other situation, if youâre scared for your safety, immediately call 911 and ask the dispatcher for the police.

    Tell them that your loved one is psychotic, and explain you need help controlling their behavior and getting them medical treatment. Ask the police not to show any weapons when they arrive so they donât alarm them more.

    If possible, someone should stay with you while you wait. And you should also call their doctor right away.

    No matter what, remember that you and your loved one deserve to get the help you need quickly, so you can get back on track with their wellness plan.

    What Are The Symptoms Of Schizophrenia And How Is It Diagnosed

    How is schizophrenia diagnosed?

    Only a psychiatrist can diagnose you with schizophrenia after a full psychiatric assessment. You may have to see the psychiatrist a few times before they diagnose you. This is because they need to see how often you are experiencing symptoms.

    There are currently no blood tests or scans that can prove if you have schizophrenia. So, psychiatrists use manuals to diagnose schizophrenia and other mental illnesses.

    The 2 main manuals used by medical professionals are the:

    • International Classification of Diseases which is produced by the World Health Organisation , or
    • Diagnostic and Statistical Manual which is produced by the American Psychiatric Association .

    NHS doctors use the ICD-10.

    The manuals explain which symptoms should be present, and for how long for you to receive a diagnosis. For example, according to the NHS you need to be hearing voices for at least 1 month before you can be diagnosed. Mental health professionals may say you have psychosis before they diagnose you with schizophrenia.

    What is the future of diagnosis in schizophrenia?There are many research studies being conducted across the world on how to better diagnose schizophrenia. For example, a recent study found through looking at images of the brain, there may be different sub-types of schizophrenia.

    What are the symptoms of schizophrenia?

    The symptoms of schizophrenia are commonly described as positive symptoms or negative symptoms. This doesnt mean that they are good or bad.

    Diagnostic Criteria Of Schizophrenia

          The following diagnostic criteria is consisting of the Diagnostic and Statistical Manual of Mental Disorders 5 .

    A.   More than two symptoms are required to be present in the 1-month period at least :

    a.   Delusions

    d.   Grossly Disorganized Catatonic Behaviour

    e.   Negative Symptoms

    B.   The functioning of the person is disturbed in his life domains e.g. work, social, self-care, academic, or personal life.

    C.   The duration of experiencing these symptoms must be 6 months or more

    D.   Schizoaffective or other mood disorders are not present

    E.   The symptoms are not because of any medication or substance abuse.

    What Can I Do To Manage Schizophrenia

    People deal with their experience in different ways. You might need to try different things before finding something that works.

    Support groups

    You could join a support group. A support group is where people come together to share information, experiences and give each other support. Hearing about the experiences of others can help you feel understood. This may help you feel less alone and boost your self-confidence.

    You might be able to find a local group by searching online. Rethink Mental Illness have support groups in some areas. You can find out what is available in your area, or get help to set up your own support group if you follow this link:

    Or you can call our advice service on 0808 801 0525 for more information.

    Recovery College

    Recovery colleges are part of the NHS. They offer free courses about mental health to help you manage your experiences. They can help you to take control of your life and become an expert in your own wellbeing and recovery. You can usually self-refer to a recovery college. But the college may tell your care team.

    Unfortunately, recovery colleges are not available in all areas. To see if there is a recovery college in your area you can use a search engine such as Google. Or you can call our advice service on 0808 801 0525 for more information.

    Peer support through the NHS

    • side effects,
    • recognising and coping with symptoms,
    • what to do in a crisis,
    • meeting other people who can support you, and recovery.

    Self-management techniques

    What Causes Schizophrenia

    Nobody knows exactly what causes schizophrenia, it is likely to be the result of several factors. For example:

    • Stress. Some people can develop the illness as a result of a stressful event, such as the death of a loved one or the loss of a job.
    • Genetics. You are more likely to develop schizophrenia if you have a close relation with the illness.
    • Brain damage. This is usually damage that has stopped your brain from growing normally when your mother was pregnant. Or during birth.
    • Drugs and alcohol. Research has shown that stronger forms of cannabis increase your risk of developing schizophrenia.
    • A difficult childhood. If you were deprived, or abused, as a child this can increase your risk of developing a mental illness. Including schizophrenia.

    There is research to suggest that may be an association between menopause and schizophrenia. This may be due to the hormonal changes during this stage of life for women.

    You can find more information about:

    • Does mental illness run in families? by clicking here.
    • Drugs, alcohol and mental health by clicking here.
    • Cannabis and mental health by clicking here.

    Is Schizophrenia Genetic

    Researchers now believe several genetic changes and other factors can increase the risk of schizophrenia.

    Risk factors for schizophrenia may include the following:

    Genetics Certain genes have been linked to an increased risk of schizophrenia, but no single gene appears to be responsible for the disease.

    Defects in those genes may increase the risk of schizophrenia by causing disturbances in the connections between brain cells.

    In 2014, more than 300 scientists from around the world compared the genomes of 37,000 people with schizophrenia with more than 113,000 people without the disease in the biggest-ever genetic schizophrenia study. They found 128 distinct gene variants that were associated with schizophrenia. They reported their findings in the journal Nature.

    Schizophrenia tends to run in families, though not everyone who has a parent with schizophrenia will get the disease. People who have a parent or sibling with schizophrenia have about a 6 times higher risk of developing schizophrenia than the general population.

    Among people with schizophrenia, most of the risk of developing the disorder seems to be related to genetic factors , according to a study of Danish twins published in the March 2018 issue of Biological Psychiatry. 31905-4/fulltext” rel=”nofollow”>5)

    The family link is most evident in identical twins. If one twin is diagnosed with schizophrenia, the other has a 46 percent chance of developing the disease, per Stat Pearls.

    When To Call 911 Instead

    If youâre afraid help from your doctor isnât going to be fast enough, you may need call to 911. To decide when you should call for help, ask yourself these questions:

    • Is your loved one threatening to harm themselves or someone else, including you?
    • Have they ever attempted suicide before?
    • Are they unable to feed or dress themselves?
    • Are they living on the streets?

    If you answered âyesâ to any of these, call 911 or a local emergency number. Donât try to solve the situation on your own or put yourself at risk.

    If you think thereâs any chance that they will try to commit suicide, ask someone to stay with them while you call for emergency help.

    What If I Am A Carer Friend Or Relative

    It can be distressing if you are a carer, friend or relative of someone who has schizophrenia. You can get support.

    How can I get support for myself?

    You can do the following.

    • Speak to your GP about medication and talking therapies for yourself.
    • Speak to your relatives care team about family intervention. For more information about family intervention see the further up this page.
    • Speak to your relatives care team about a carers assessment.
    • Ask for a carers assessment.
    • Join a carers service. They are free and available in most areas.
    • Join a carers support group for emotional and practical support. Or set up your own.

    What is a carers assessment?NICE guidelines state that you should be given your own assessment through the community mental health team to work out what effect your caring role is having on your health. And what support you need. Such as practical support and emergency support.

    The CMHT should tell you about your right to have a carers assessment through your local authority. To get a carers assessment you need to contact your local authority.

    How do I get support from my peers?You can get peer support through carer support services or carers groups. You can search for local groups in your area by using a search engine such as Google. Or you can call our advice service on 0808 801 0525. They will search for you.

    How can I support the person I care for?

    You can do the following.

    There is no definition for what high risk means. It could include:

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