Ep 31: Paranoia, Paranoid Personality, or Schizophrenia? | Which Is It?

Paranoia, Paranoid Personality, or Schizophrenia? | Which Is It?

In this episode of The Personality Couch Podcast, we (licensed clinical psychologists Doc Bok and Doc Fish) unpack how paranoia, paranoid personalities, and psychotic disorders overlap. We explore the line between personality disorders and psychosis; misuse of the term schizophrenia; and introduce the concept of paraphrenia as it relates to psychosis in the paranoid personality. We also explore the historical context of paranoia, the nuances between paranoia and delusions, and how the terms became so intertwined in history. We end with our own unfiltered thoughts about limitations to DSM diagnostic categories and how paranoia became so confusing!

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Chapters
00:00 Introduction to Paranoia and Psychosis
02:14 Defining Paranoia
03:15 Sociocultural Paranoia: The Salem Witch Trials
04:22 How Paranoia Leads to Psychosis: A Train Metaphor
06:51 Defining Delusions
08:21 Persecutory Delusions
08:55 Delusions of Grandeur
09:32 Jealous Delusions
10:01 Erotomanic Delusions
12:01 When Paranoia Becomes a Diagnosis
13:14 Paranoia in Personality Disorders
14:34 Wait- Paranoid Schizophrenia is NOT a Diagnosis?!
16:03 Defining Paraphrenia
16:43 Defining Schizophrenia
17:54 How is Paranoid Personality Disorder Different from Schizophrenia?
22:50 The Difference Between Schizophrenia and Paraphrenia
23:11 Confusion in Definitions and DSM Limitations
27:24 Closing

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Episode on Paranoid Personality Subtypes and Severity Levels:
   • Ep 30: Paranoid Personality | The 6 Subtyp...  

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paranoid personality disorder; post-pandemic; pandemic; DSM; DSM diagnosis; psychological profiling, paraphrenic