The DSM criteria for Paranoid personality disorder are:
- A pervasive mistrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts
- Suspects, without sufficient basis, that others are exploiting, harming or deceiving him or her
- Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends and associates
- Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her
- Reads hidden demeaning or threatening meanings into benign remarks or events
- Persistently bears grudges
- Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack
- Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner
- Does not occur exclusively during the course of another disorder or medical condition
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