Paranoid Schizophrenia

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The most common type of schizophrenia in most parts of the world. Paranoid schizophrenia is a serious, lifelong condition that can lead to many complications, including suicidal behavior.

Paranoid Type
First episode of illness usually at older age than catatonic or disorganized schizophrenia. Patients in the late 20s or 30s have usually established a social life that may help them through their illness. Ego resources of paranoid patients tend to be greater than catatonic or disorganized schizophrenia.

 Less regression of their mental faculties, emotional response, and behavior compare to patients with other type schizophrenia. Patients are typically tense, suspicious, guarded, reserved, and sometimes hostile or aggressive. The intelligence in areas not invaded by their psychosis tends to remain intact.

Most Common Paranoid Symptoms

Delusions of persecution, reference, exalted birth, special mission, bodily change, or jealousy. Hallucinatory voices that threaten the patient or give commands, or auditory hallucinations without verbal form, such as whistling, humming, or laughing. Hallucinations of smell or taste, or of sexual or other bodily sensations. Visual hallucinations may occur but are rarely predominant.

Risk Factor
Family History Maternal Illness During Pregnancy. Maternal Nutritional Deficiency During Pregnancy. Medical Problems During Pregnancy and Birth. A child born to an older father. Childhood abuse and other trauma. Low IQ. Stressful Life Circumstances. Drug Use During Adolescence and Young Adulthood

Diagnostic Criteria for Paranoid Schizophrenia

Preoccupation with one or more delusions or frequent auditory hallucinations. None of the following is prominent:
Disorganized speech Disorganized behavior Disorganized or catatonic behavior Flat or inappropriate affect