Paranoia — a belief that people are following you or conspiring against you — is a symptom of psychosis in bipolar disorder that can be managed medically and with other strategies.
Some people will become hypervigilant, highly defensive to imagined criticism, and preoccupied with perceived hidden motives and threats to their well-being. Those who have milder symptoms of paranoia can function and work, while others may experience hallucinations, a sense of unreality, delusions, and even psychosis.
Psychotic symptoms
It's more common during manic episodes, but can also happen during depressive episodes. These kinds of experiences can feel very real to you at the time, which may make it hard to understand other people's concerns about you. Psychotic symptoms can include: Delusions, such as paranoia.
Communicate that you respect his beliefs, but don't pretend to share them. Be honest about your own perceptions. Offer clarification - You can help him cope with his suspicion and mistrust by encouraging him to voice his thoughts, and then explaining your actions in a neutral and non-defensive way.
Paranoia may be a symptom of a number of conditions, including paranoid personality disorder, delusional (paranoid) disorder and schizophrenia. The cause of paranoia is unknown but genetics are thought to play a role.
You are more likely to experience paranoid thoughts when you are in vulnerable, isolated or stressful situations that could lead to you feeling negative about yourself. If you are bullied at work, or your home is burgled, this could give you suspicious thoughts which could develop into paranoia.
Paranoia is the most common symptom of psychosis but paranoid concerns occur throughout the general population.
Antipsychotics may reduce paranoid thoughts or make you feel less threatened by them. If you have anxiety or depression, your GP may offer you antidepressants or minor tranquillisers. These can help you feel less worried about the thoughts and may stop them getting worse.
Impact on Your Relationship
Underlying paranoia is a lack of trust in your partner. This tends to erode the relationship, unless you are able to feel secure in the relationship and your partner is able to demonstrate that they are trustworthy.
During episodes of mania and depression, someone with bipolar disorder may experience strange sensations, such as seeing, hearing or smelling things that are not there (hallucinations). They may also believe things that seem irrational to other people (delusions).
Left untreated, PPD can interfere with a person's ability to form and maintain relationships, as well as their ability to function socially and in work situations. People with PPD are more likely to stop working earlier in their lives than people without personality disorders.
“When a person with bipolar disorder has sleep deprivation,” says Duckworth, “which is common when a person is manic and when a person is in a mixed state, the thinking is that their grasp on reality gets poorer and they can hallucinate — they can develop paranoid or delusional thoughts.”
The fear of never being stable.
Thus this leads to a feeling of being unfit for this world — that you weren't meant for it because you can't cope with life due to something you didn't choose and can't change; that you're stuck having to explain yourself to others and even yourself.
Answer questions honestly. But don't argue or debate with a person during a manic episode. Avoid intense conversation. Don't take comments or behavior personally.
In case you were wondering, there are famous people with paranoid personality disorder, or at least who seemed to have many of the symptoms of paranoid personality disorder when they were alive. Some experts suspect that Josef Stalin, Saddam Hussein, and Richard M. Nixon all had paranoid personality disorder (PPD).
Someone with PPD believes other people are out to harm them, cannot be trusted, or are not loyal. They tend to be socially isolated and struggle to form any close relationships. They can get angry easily and hold grudges against people. Living with PPD is very difficult, including for family members.
Personality disorders that are susceptible to worsening with age include paranoid, schizoid, schizotypal, obsessive compulsive, borderline, histrionic, narcissistic, avoidant, and dependent, Dr. Rosowsky said at a conference sponsored by the American Society on Aging.
Paranoia and anxiety are two separate conditions. Both can cause changes in thinking patterns. Doctors no longer use the term paranoia, referring to the illness as delusional disorder. Symptoms of delusional disorder include hallucinations and mood disturbances, such as feelings of extreme sadness or distress.
A paranoid thought is a type of anxious thought. Anxiety can cause paranoia, affecting what you're paranoid about and how long the feeling lasts. But paranoid thoughts can also make you anxious.
Don't argue about their mistaken beliefs or instantly dismiss them. A person with PPD misinterprets events as threatening and trying to argue rationally with them will only reinforce their belief that you're out to deceive them. Instead, respect their beliefs but focus on the fears behind their claims.
As much as you might love or care for the individual, if they are emotionally, mentally, or physically abusive, it is okay to step away from the situation. Some examples of emotional, mental, and physical abuse include: Emotional & Mental Abuse: Being dissatisfied, no matter how hard you try or how much you give.