Paranoia: treatments

The paranoid personality

The paranoid personality is composed of four main traits:

> The hypertrophy of the self: this overestimation of oneself is at the center of the paranoid personality. It brings megalomania, pride, contempt for others, vanity sometimes hidden behind a false superficial modesty.

> Psychorigidity: the paranoiac is incapable of questioning himself, of submitting to a collective discipline. He is always right and is authoritarian. This social maladjustment often ends up isolating itself and favoring self-taught learning.

> Mistrust and suspicion: the paranoid thinks that others are trying to deceive him because they are jealous of his superiority. He feels permanently surrounded by envious and malicious people. As a result, he is sensitive and always on his guard.

> The falsity of judgment: the paranoid follows his own logic, which is based on a series of false interpretations but of which he is absolutely convinced. He often seeks to impose his opinions in a tyrannical and intolerant way to his relatives.

The treatments of paranoia

In case of paranoia, the evolution of these delusions is peppered with very acute paranoid moments where the possibility of a passage to the act against another is to be feared. There are also phases of collapse with depressions that can be accompanied by suicidal ideation.

Social and emotional isolation, more or less important, is often the consequence of these delusional interpretations.

The treatment of these paranoid delusions is delicate. The difficulty for the psychiatrist is to arouse the confidence of the paranoid subject. Especially since it usually takes time before the patient agrees to consult.

However, when the latter is aggressive and becomes threatening to those around him, forced hospitalization is indicated. Simple hospitalization, at the request of the patient, should be favored but is more difficult to implement.

The treatment of paranoia is based on the combination of drugs (neuroleptics) and a psychotherapeutic action. The psychotherapist must be vigilant with the patient. The monitoring framework, defined in advance, must be strictly respected, in the rules of propriety that must be. Any failure is likely to provoke a delusional interpretation in the paranoid.

Antidepressant and / or anxiolytic treatment may also be associated if paranoia is complicated by depression or anxiety.

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Read also :

> Go see a psychiatrist: how to find the right?
> Overcoming your phobias and anxiety disorders
> Anguish: I learn to manage

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