DSM-5 Criteria for Paranoid Personality Disorder

A. A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:

  1. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.
  2. Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends
    or associates.
  3. Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.
  4. Reads hidden demeaning or threatening meanings into benign remarks or events.
  5. Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights).
  6. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.
  7. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual
    B. Does not occur exclusively during the course of schizophrenia, a bipolar disorder or a depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition.


Yes I am also guilty, I have spent the past couple of years buying into the illusion.

Narcissism has become factoid

Everyone is a narcissist or so they would have you believe.

There are groups and forums out there that talk of it all day long, if you stay on them for long enough you will be brainwashed into thinking the same.

Your advised to:-







Firstly who has diagnosed them as the Narcissist?

A mental health professional such as a psychologist or psychiatrist (psychotherapist) can determine if you have key symptoms of NPD

How do you know they dont have a brain disorder?


How do you know they do not have a chemical inbalance?


I have been studying mental health over the past 4 years and know many Doctors who are mental health practitioners, and the research shows that many of the symptom’s of NPD can be down to some of or all of the above.

Marriages are breaking up, families are becoming disjointed, children are being labelled all because of being labelled a Narcissist.

So think twice before cutting off a family member, or leaving your long term partner or husband/wife.

Do they need help and support?

Could they get treatment and recover?

Have they had brain scans to rule out a problem?

Have they had a proper diagnosis?

I am very much against emotional abuse, but things are not always as they appear to be!!!

Would you leave a partner who has:

  • Dementia?
  • Alzheimer’s?
  • ADHD?
  • Bipolar?
  • Schizophrenia?
  • Psychosis?
  • Autism?

OR would you want to save the relationship and help them get the help they need?

What is the world coming to when people are discarded because they dont fit in.


Fixating on Demons

Dombek makes this case elegantly, and by heavy implication: If you are strongly averse to something, won’t you inevitably have trouble recognizing it within yourself? The religious fear of evil can itself lead to evil—a desire to protect unborn children, for instance, can cause a callous disregard for women’s lives. The fear of being inconsistent about one’s feminism often leads one to be inconsistent about one’s feminism. Fixating on any demon necessitates a deep familiarity with it, and today my fear of narcissism derives from intimate acquaintance with the many evolving ways a person can bend her life into a flattering mirror online. In the book’s opening section, before giving up the first-person pronoun, Dombek writes, “If using the word I_ _turns out to be a symptom of narcissism, you won’t hear from me again.”

As a reader, I resisted this notion: there’s a plain responsibility to the “I” when it’s used well, an admission that human experience is often too specific for a “we.” But as a writer I know exactly where Dombek is coming from. This fear of appearing narcissistic—of being_ _narcissistic, deep down—is where a particularly elusive form of the disorder may live. I am disturbed by the idea of being narcissistic, and yet I find other people’s self-absorption merely embarrassing. If that disturbance stems from an abiding suspicion that I can’t see myself clearly, well, what greater proof of overwhelming self-concern could there be?

Jia Tolentino
@jiatolentinoJia Tolentino is a staff writer at The New Yorker whose work includes an exploration of youth vaping and essays on the ongoing cultural reckoning about sexual assault. Previously, she was the deputy editor at Jezebel and a contributing editor at the Hairpin. She grew up in Texas, attended the University of Virginia, served in the Peace Corps in Kyrgyzstan, and received an M.F.A. in fiction from the University of Michigan. Her first book, the essay collection “Trick Mirror,” was published in August, 2019.


Gold Standard Therapies

PTSD treatments generally fall into two broad categories: past-focused and present-focused (or their combination) [4]. Past-focused PTSD models ask clients to explore their trauma in detail to promote “working through” or processing of painful memories, emotions, beliefs and/or body sensations about the trauma. In contrast, present-focused PTSD models focus on psychoeducation and coping skills to improve current functioning in domains such as interpersonal, cognitive, and behavioral skills. Examples of past-focused models include Prolonged Exposure (PE) Therapy, Cognitive Processing Therapy (CPT), Eye Movement Desensitization and Reprocessing (EMDR), and Narrative Exposure Therapy. Examples of present-focused models include Cognitive Therapy for PTSD, Seeking Safety, and Stress Inoculation Training. Thus far, the preponderance of evidence indicates that both types (past- and present-focused) work, and neither consistently outperforms the other in terms of outcomes based on RCTs [3]. The majority of RCTs have focused on past-focused models, however, thus leading to the term “gold standard therapies” for models such as PE, CPT and EMDR (e.g. [5]).


Limbic scars

Background: Childhood maltreatment represents a strong risk factor for the development of depression and posttraumatic stress disorder (PTSD) in later life. In the present study, we investigated the neurobiological underpinnings of this association. Since both depression and PTSD have been associated with increased amygdala responsiveness to negative stimuli as well as reduced hippocampal gray matter volume, we speculated that childhood maltreatment results in similar functional and structural alterations in previously maltreated but healthy adults.

Methods: One hundred forty-eight healthy subjects were enrolled via public notices and newspaper announcements and were carefully screened for psychiatric disorders. Amygdala responsiveness was measured by means of functional magnetic resonance imaging and an emotional face-matching paradigm particularly designed to activate the amygdala in response to threat-related faces. Voxel-based morphometry was used to study morphological alterations. Childhood maltreatment was assessed by the 25-item Childhood Trauma Questionnaire (CTQ).

Results: We observed a strong association of CTQ scores with amygdala responsiveness to threat-related facial expressions. The morphometric analysis yielded reduced gray matter volumes in the hippocampus, insula, orbitofrontal cortex, anterior cingulate gyrus, and caudate in subjects with high CTQ scores. Both of these associations were not influenced by trait anxiety, depression level, age, intelligence, education, or more recent stressful life events.

Conclusions: Childhood maltreatment is associated with remarkable functional and structural changes even decades later in adulthood. These changes strongly resemble findings described in depression and PTSD. Therefore, the present results might suggest that limbic hyperresponsiveness and reduced hippocampal volumes could be mediators between the experiences of adversities during childhood and the development of emotional disorders.


How does trauma bonding affect the brain?

One of many ways victims can help their brain break a trauma bond is by facilitating the release of calming oxytocin (from the amygdala). Igniting oxytocin receptors of this type can reduce cravings, ease withdrawal, and lessen pain.

What causes someone to violate a person they claimed to love? There are many reasons, for example, substance or alcohol abuse, a neurological condition impacting behavior, or a disorder of character such as antisocial personalitypsychopathy, borderline personality disorder, or narcissistic personality disorder.