Is paranoia permenant?

Even with an antipsychotic, I am still paranoid. It just doesn't bother me as much. The ap just seems to dull things.

I just wondered if paranoia is permenant.

According to Borderline Personality Disorder, a Survival Guide it's one of the symptoms that does repsond well with treatment.

Cool. I need to get that book. I can get that along with the James Joyce this weekend!

Distraction works for me whenever I'm paranoid. Running is a great outlet!

Thanks, KevinD25. I have thought of walking too, this weekend. I'm not a runner. I tried running in ROTC and I didn't do so well.

You need to get a book that says it doesn't respond well? I think it would be more helpful to get a book written by a person who's struggled with it, or a book which explains what it does respond to...?

My gut feeling would be that if it doesn't respond to antipsychotics its probably PD not psychosis. (Psychosis is [supposed to] respond to antipsychotics because its a bit like - or verging on - dreaming while asleep and [supposed to] result from chemical states being out of whack - but I think maybe its closer to the idea that some people are wired more in a way that when those certain people get into that state, that's what happens to their minds. I think its possible other people could get into similar states, e.g. if those states are elevated dopamine, and wouldn't experience psychosis at all.

Your paranoia [seems] more like extreme "disordered thinking".) and that makes sense with stuff being dulled down but not removed because antipsychotics dull everything down - even healthy and normal stuff. That's supposed to be an undesirable side effect.

Part of my guess as to why paranoia wouldn't respond fully to e.g. DBT would be that DBT teaches coping skills and new ways of thinking, it doesn't deal with underlying issues. That makes sense to me because I've also been looking into learning or adjusting and brushing up on my own way of thinking and figured that's only one side of things. That might not be the same as DBT but I think its still true that if you have a lot of negative crap going on at an underneath level (repressed, dissociated, etc.) no amount of "correct thinking" will resolve that stuff on its own. That side of things needs different treatment.

Denial is also a big problem for most people with PD. My own real problems are basically that I have issues that stop me going out and living my life even though I'm otherwise entirely capable, which is incredibly frustrating, but a lot of the time the idea that I can't doesn't register. ..well I can, but I have to remove the issues blocking it first - the same could be said about paranoia - it definitely can't come from nowhere or be as simple as just managing emotions.

Hmmmmmmmmm............never thought of that