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Diagnosis information
Core diagnostic criteria, specifiers, differential considerations, and documentation support in one open, scan-friendly view.
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Core criterion A
Pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood; ≥4 of 7: suspects exploitation/harm/deception; preoccupied with unjustified doubts about loyalty; reluctant to confide; reads hidden threatening meanings; bears grudges; perceives attacks on character not apparent to others; recurrent suspicions about fidelity of partner
Consistent with [Paranoid Personality Disorder] [specifier(s)]. Since early adulthood, there has been a pervasive pattern of suspecting others of exploiting, harming, or deceiving them; preoccupation with unjustified doubts about the loyalty or trustworthiness of others; reluctance to confide due to unwarranted fear that information will be used maliciously; reading hidden demeaning or threatening meanings into benign remarks; persistently bearing grudges; perceiving attacks on character not apparent to others and reacting with anger or counterattack; recurrent suspiciousness regarding the fidelity of a spouse or partner, forming a pattern meeting the threshold for a longstanding paranoid personality structure. These symptoms have resulted in clinically significant interpersonal, social, or occupational impairment, with the disturbance not occurring exclusively during psychotic disorders.
Adapt this supplied template to the assessment. It is not a substitute for diagnostic reasoning or local documentation requirements.