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.

Paranoid Symptoms

Delusions are beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, are rooted in fear and anxiety. They might make you feel like:

  • A co-worker is trying to hurt you, like poison your food.
  • Your spouse or partner is cheating on you.
  • The government is spying on you.
  • People in your neighborhood are plotting to harass you.

These beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone.

People with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home.

You could also have related hallucinations, in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there.

Continued

Medication

Your doctor may prescribe an antipsychotic drug to make the delusions go away. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you.

Even when you feel better, keep taking your medicine. If you stop, your delusions will probably come back.

Avoid using marijuana, or nicotine, cocaine, or other stimulants. They can keep antipsychotic drugs from working well. They can also cause paranoia or make it worse.

You might have to take different kinds of drugs for other symptoms, too.

Counseling

 

Once your delusions are under control, counseling can help you get along with others, hold a job, go to school, take care of yourself, and have friends.

People with schizophrenia who get counseling are also more likely to stick with their medications.

A kind of counseling called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to test whether you're having delusions and how to ignore voices inside your head.

Positive, encouraging support from family and friends really helps, too.

Because some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise.

Hospitalization

There might be times when your paranoid delusions or other symptoms are so severe that you have to go to the hospital. You'll be cared for so you and your loved ones stay safe.

If you recognize that you're having trouble, you can be admitted voluntarily. But if you think you don't need help when you really do, the law may allow a doctor or other mental health professional to admit you involuntarily.

WebMD Medical Reference Reviewed by Joseph Goldberg, MD on September 15, 2015

Sources

SOURCES:

American Psychiatric Association: "Schizophrenia."

National Institute of Mental Health: "What Is Schizophrenia?"

King's College Institute of Psychiatry, Psychology & Neuroscience: "Paranoia."

Coid, J. JAMA Psychiatry, May 2013.

Freeman, D. Schizophrenia Bulletin, July 2015.

National Alliance on Mental Illness: "Psychosis."

Medscape: "Schizophrenia Treatment & Management."

© 2015 WebMD, LLC. All rights reserved.

Pagination