Paranoid psychosis is a group of mental disorders characterized primarily by systematic delusions with an unknown disease cause. If hallucinations are present, they are brief and not prominent. There are no obvious signs of mental abnormality when delusions are not involved.

bubble_chart Diagnosis

1. It predominantly occurs in women, typically with a slow onset between the ages of 30 and 40. Premorbid personality traits often include subjectivity, stubbornness, and competitiveness, with psychological factors present in one-third of cases before onset.

2. Clinical manifestations: Initially, the ability to maintain contact with reality remains intact, making it difficult to detect and often mistaken for stubbornness. When symptoms become pronounced, corresponding emotional and behavioral manifestations emerge. The primary features are fixed, persistent, and relatively systematic delusions, commonly including persecution, jealousy, litigation, infatuation, grandiosity, and hypochondriasis. These delusions are often close to reality, firmly held, and resistant to persuasion, generally without generalization. They are frequently accompanied by repeated illegal behaviors such as lodging complaints, stalking, assault, fleeing, self-harm, or suicide.

bubble_chart Treatment Measures

Few patients seek medical help on their own, most are accompanied by family members for consultation. Treatment with antipsychotic drugs (see schizophrenia) and psychotherapy can lead to improvement. A favorable environment also aids in alleviating delusions.