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Paranoid psychosis


Paranoid psychosis is a form of psychosis, i.e. a mental disorder characterized by a change in one's perception that generates a delirium (speech and ideas that differ from objectified facts). In paranoia, delirium is centered on a theme of persecution and women, mostly affected in this type of psychosis, will misinterpret the facts. Paranoid psychosis involves a disruption of thought and false judgment of which the patient is unaware. Depression associated with this syndrome can cause suicide or acting out in the form of violence or even murder. This type of syndrome occurs in adolescence or early adulthood. There are different forms of paranoid psychosis including delusions of jealousy, delusions of interpretation, erotomania or delusions of revenge.


Paranoid psychoses have several common points:
  • delirium with a focus on persecution;
  • false judgment;
  • lack of awareness of the disorder.

Depending on the subtype of paranoid psychosis, symptoms vary:
  • the conviction of being cheated on, jealousy;
  • the conviction of being criticized or subjected to threats or conspiracy;
  • the conviction of being loved, erotomaniacal delirium;
  • the conviction of being a victim of prejudice.

Among the risks of paranoid psychosis are aggression of others, or self-aggression, which can lead to suicide. Furthermore, narcotics or alcohol are consumed to cope with these delusions, and psychosocial isolation increasing progressively.


The diagnosis of chronic paranoid psychosis will be established following a number of psychiatric interviews. It is not necessary to perform additional tests even if a blood test and sometimes a brain imaging are performed to rule out organic disease.


Chronic paranoid psychosis is treated with a combination of medications, mainly narcoleptic antipsychotics, anxiolytics, all coupled with guidance through psychotherapy. However, treatment is rarely taken correctly because of the persuasion of the patient that he has no problems. Drug treatments should be taken for life. In the most severe cases, hospitalization is considered.