🕷️ Crawler Inspector

URL Lookup

Direct Parameter Lookup

Raw Queries and Responses

1. Shard Calculation

Query:

Response:

Calculated Shard: 142 (from laksa087)

2. Crawled Status Check

Query:

curl -X POST \
  'http://laksa142.int.ahrefs:8124/' \
  -H 'Content-Type: text/plain' \
  -H 'X-ClickHouse-Database: crawler3' \
  -H 'Authorization: Basic YXBpOg==' \
  -d 'SELECT getAhrefsURLFromUnparsed(src_unparsed) AS found_url, ifNull(toUnixTimestamp(download_stamp), 0) AS crawl_time, ifNull(toUnixTimestamp(props_url_first_seen), 0) AS first_indexed_time, download_http_code AS http_code, src_unparsed AS src_unparsed, src_root_hash AS src_root_hash, history_drop_reason AS history_drop_reason, meta_title AS meta_title, meta_descriptions AS meta_descriptions, attrs_boilerpipe_text AS attrs_boilerpipe_text, attrs_markdown AS attrs_markdown, attrs_readable_markdown AS attrs_readable_markdown, meta_canonical AS meta_canonical FROM crawler3.page_info_local FINAL PREWHERE (src_root_hash, src_unparsed) IN ((getAhrefsRootHashFromUnparsed(getAhrefsUnparsedNoserviceFromURL(\'https://www.webmd.com/schizophrenia/schizophrenia-paranoia\')), getAhrefsUnparsedNoserviceFromURL(\'https://www.webmd.com/schizophrenia/schizophrenia-paranoia\'))) FORMAT JSONEachRow'

Response:

{"found_url":"https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia","crawl_time":1775355616,"first_indexed_time":0,"http_code":200,"src_unparsed":"com,webmd!www,\/schizophrenia\/schizophrenia-paranoia s443","src_root_hash":"18365360746078618142","history_drop_reason":null,"meta_title":"Paranoid Schizophrenia: Causes, Symptoms, Treatment, and More","meta_descriptions":["Paranoid schizophrenia is a type of schizophrenia accompanied by paranoia. Delusions and hallucinations are the two symptoms. Learn about the support and treatment at WebMD."],"attrs_boilerpipe_text":"Paranoid schizophrenia is a term that was used to mean a type of\npsychosis\n, which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia. \nParanoid schizophrenia involves: \nParanoia, which means you feel distrust, suspicious, and fearful of someone without any good reason, \nDelusions, which means you believe something that people without the condition know is unreal as real. \nThese symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor.\nThe illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with.\nDelusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like:\nA co-worker is trying to hurt you, like poisoning your food.\nYour spouse or partner is cheating on you.\nThe government is spying on you.\nPeople in your neighborhood are plotting to harass you.\nThese beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone.\nPeople with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home.\nYou could also have related\nhallucinations\n, in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of\nparanoia\n.\nSchizophrenia is, basically, a biological problem that has to do with changes in your brain.\nIt could happen when: \nYou have imbalances in chemicals that brain cells use to communicate within your brain.\nYou have brain problems that started before you were born.\nYour brain has trouble communicating in different areas. \nBut no one knows exactly what causes schizophrenia. \nHow common is it?\nSchizophrenia\nisn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it. \nWho gets it?\nA person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if:\nIt runs in your family.\nYou use recreational drugs like cannabis.\nYou’ve been exposed to harmful substances in the environment.\nYou’ve had a brain infection.\nYour parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during\npregnancy\n.\nYou're lonely or isolated.\nYou belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income.\nAlso, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth.\nParanoid schizophrenia triggers\nExperts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with:\nA stressful life event\nA brain infection\nTaking recreational drugs, particularly cannabis\nA doctor, likely a\npsychiatrist\n, will diagnose schizophrenia by:\nAsking about your symptoms, medical history, and personal and family history\nDoing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate\nDoing lab and imaging tests to check if your symptoms are due to other conditions\nThey might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if:\nYou’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior. \nThese symptoms seriously affect your work, social life, school, and relationships.\nYour doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life. \nParanoid schizophrenia medication\nYour doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you.\nEven when you feel better, keep taking your medicine. If you stop, your delusions will probably come back.\nAvoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse.\nYou might have to take different kinds of drugs for other symptoms, too. Get more information about\nmedications used to treat schizophrenia\n.\nTherapy\nOnce your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends.\nPeople with schizophrenia who get counseling are also more likely to stick with their medications.\nA kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them.\nPositive, encouraging support from family and friends helps, too.\nBecause some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different\ntypes of therapy for schizophrenia\n.\nHospitalization\nThere might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia.\nSchizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge. \nYou might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease. \nWith the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia. \nFollow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments.\nTalk to your doctor about any new or distressing symptoms you have.\nYour doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse. \nJoin support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the\nNational Alliance on Mental Illness\nand \nSchizophrenia & Psychosis Support\n. \nCreate a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress. \nSchizophrenia stigma\nMany people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others. \nThe only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder. \nPeople with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment.\nYou might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by:\nFollowing them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans\nNot dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you.\nBeing respectful and kind to them, without accepting any inappropriate behavior from them\nLearning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness.\nGetting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else\nGet emergency help right away if you’re thinking of harming yourself or others.\nCall or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org.\nCall 911 or your local emergency services number.\nCall the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255).\nSchizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a\nmental health\nprofessional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others. \nWhat is the behavior of someone with paranoid schizophrenia?\nPeople with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information.\nCan a person with paranoid schizophrenia live a normal life?\nA person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system. \nIs paranoid schizophrenia lifelong?\nYes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning. ","attrs_markdown":"[Skip to main content](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#main-container)\n\n[![Logo for WebMD](https:\/\/img.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/logos\/webmd\/web\/webmd_logo_white.svg)](https:\/\/www.webmd.com\/)\n\n- [Home](https:\/\/www.webmd.com\/)\n- [Conditions]()\n  Back\n  \n  Conditions[![](https:\/\/img.lb.wbmdstatic.com\/webmd_v1_static_vue\/091e9c5e81e4bc92\/client\/img\/arrow-right.4012ff31.svg) View All](https:\/\/www.webmd.com\/a-to-z-guides\/health-topics)\n  \n  - 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[The Basics](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophrenia)\n  - [Schizophrenia in Teens](https:\/\/www.webmd.com\/schizophrenia\/recognizing-schizophrenia-in-teens)\n  - [Schizophrenia in Children](https:\/\/www.webmd.com\/schizophrenia\/childhood-schizophrenia)\n- Symptoms\n  - [Overview of Symptoms](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-symptoms)\n  - [Positive Symptoms](https:\/\/www.webmd.com\/schizophrenia\/first-episode-psychosis)\n  - [Negative Symptoms](https:\/\/www.webmd.com\/schizophrenia\/what-is-catatonia)\n- Causes & Risks\n  - [Causes](https:\/\/www.webmd.com\/schizophrenia\/what-causes-schizophrenia)\n  - [Risks](https:\/\/www.webmd.com\/schizophrenia\/who-gets-schizophrenia-by-age-sex-more)\n- [Tests & Diagnosis](https:\/\/www.webmd.com\/schizophrenia\/diagnostic-tests-schizophrenia)\n- Treatment\n  - [Overview of Treatment](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-therapy)\n  - [Drug Therapies](https:\/\/www.webmd.com\/schizophrenia\/medicines-to-treat-schizophrenia)\n  - [Medication Side Effects](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-meds-drug-interactions)\n  - [Medication Compliance](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-stay-on-medication)\n  - [Complementary & Alternative Therapies](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-complementary-treatments)\n  - [Hospitalization](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-hospitalization-against-your-will)\n- [Relapse](https:\/\/www.webmd.com\/schizophrenia\/prevent-schizophrenia-relapse)\n- [Complications](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-complications)\n- Living With\n  - [Daily Life](https:\/\/www.webmd.com\/schizophrenia\/how-to-keep-track-of-your-schizophrenia)\n  - [Diet & Exercise](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-and-exercise-the-link)\n  - [Family & Relationships](https:\/\/www.webmd.com\/schizophrenia\/dating-schizophrenia)\n- [Caregiving](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-and-family)\n- Appointment Prep\n  - [Schizophrenia](https:\/\/www.webmd.com\/apptprep\/your-schizophrenia-journey\/cm\/toc)\n  - [Tardive Dyskinesia](https:\/\/www.webmd.com\/apptprep\/your-tardive-dyskinesia-journey\/cm\/toc)\n- [View Full Guide](https:\/\/www.webmd.com\/schizophrenia\/default.htm)\n\n# What Is Paranoid Schizophrenia?\n![](https:\/\/img.lb.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/articles\/biographies\/sheikh_zilpah_382x382.jpg?resize=51px:51px&output-quality=75)\n\nWritten by Frances Gatta, Terri D'Arrigo\n\nMedically Reviewed by [Zilpah Sheikh, MD](https:\/\/www.webmd.com\/bio\/zilpah-sheikh) on July 24, 2024\n\n- [What Is Paranoid Schizophrenia?](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-1-1)\n- [Paranoid Schizophrenia Symptoms](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-2-2)\n- [Paranoid Schizophrenia Causes](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-3-3)\n- [Paranoid Schizophrenia Diagnosis](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-4-5)\n- [Paranoid Schizophrenia Treatment](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-4-6)\n- [Living With Paranoid Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-7-9)\n- [What Loved Ones Should Know](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-9-11)\n- [When to Get Emergency Help](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-9-12)\n- [Takeaways](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-10-13)\n- [Paranoid Schizophrenia FAQs](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia#091e9c5e812a44db-10-14)\n\n8 min read\n\n## What Is Paranoid Schizophrenia?\nParanoid schizophrenia is a term that was used to mean a type of [psychosis](https:\/\/www.webmd.com\/schizophrenia\/what-is-psychosis), which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia.\n\nParanoid schizophrenia involves:\n\n- Paranoia, which means you feel distrust, suspicious, and fearful of someone without any good reason,\n- Delusions, which means you believe something that people without the condition know is unreal as real.\n\nThese symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor.\n\nThe illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with.\n\n## Paranoid Schizophrenia Symptoms\nDelusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like:\n\n- A co-worker is trying to hurt you, like poisoning your food.\n- Your spouse or partner is cheating on you.\n- The government is spying on you.\n- People in your neighborhood are plotting to harass you.\n\nThese beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone.\n\nPeople with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home.\n\nYou could also have related [hallucinations](https:\/\/www.webmd.com\/schizophrenia\/what-are-hallucinations), in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of [paranoia](https:\/\/www.webmd.com\/mental-health\/why-paranoid).\n\n## Paranoid Schizophrenia Causes\nSchizophrenia is, basically, a biological problem that has to do with changes in your brain.\n\nIt could happen when:\n\n- You have imbalances in chemicals that brain cells use to communicate within your brain.\n- You have brain problems that started before you were born.\n- Your brain has trouble communicating in different areas.\n\nBut no one knows exactly what causes schizophrenia.\n\n**How common is it?**\n\n[Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophrenia) isn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it.\n\n**Who gets it?**\n\nA person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if:\n\n- It runs in your family.\n- You use recreational drugs like cannabis.\n- You’ve been exposed to harmful substances in the environment.\n- You’ve had a brain infection.\n- Your parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during [pregnancy](https:\/\/www.webmd.com\/baby\/pregnancy-am-i-pregnant).\n- You're lonely or isolated.\n- You belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income.\n\nAlso, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth.\n\n**Paranoid schizophrenia triggers**\n\nExperts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with:\n\n- A stressful life event\n- A brain infection\n- Taking recreational drugs, particularly cannabis\n\n## Paranoid Schizophrenia Diagnosis\nA doctor, likely a [psychiatrist](https:\/\/www.webmd.com\/a-to-z-guides\/what-is-psychiatrist), will diagnose schizophrenia by:\n\n- Asking about your symptoms, medical history, and personal and family history\n- Doing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate\n- Doing lab and imaging tests to check if your symptoms are due to other conditions\n\nThey might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if:\n\n- You’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior.\n- These symptoms seriously affect your work, social life, school, and relationships.\n\n## Paranoid Schizophrenia Treatment\nYour doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life.\n\n**Paranoid schizophrenia medication**\n\nYour doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you.\n\nEven when you feel better, keep taking your medicine. If you stop, your delusions will probably come back.\n\nAvoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse.\n\nYou might have to take different kinds of drugs for other symptoms, too. Get more information about [medications used to treat schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/medicines-to-treat-schizophrenia).\n\n**Therapy**\n\nOnce your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends.\n\nPeople with schizophrenia who get counseling are also more likely to stick with their medications.\n\nA kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them.\n\n![](https:\/\/img.lb.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/articles\/health_tools\/who_are_the_members_of_your_migrainse_care_team_slideshow\/1800ss_getty_rf_talk_therapy_session.jpg?resize=750px:*&output-quality=75)\n\nGoing to therapy regularly can help you identify and manage your schizophrenia symptoms. (Photo Credit: Moment\/Getty Images)\n\nPositive, encouraging support from family and friends helps, too.\n\nBecause some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different [types of therapy for schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-therapy).\n\n**Hospitalization**\n\nThere might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia.\n\n## Living With Paranoid Schizophrenia\nSchizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge.\n\nYou might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease.\n\nWith the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia.\n\n- Follow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments.\n- Talk to your doctor about any new or distressing symptoms you have.\n- Your doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse.\n- Join support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the [National Alliance on Mental Illness](https:\/\/www.nami.org\/Support-Education\/support-groups\/) and [Schizophrenia & Psychosis Support](https:\/\/www.inspire.com\/groups\/scz-action\/).\n- Create a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress.\n\n**Schizophrenia stigma**\n\nMany people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others.\n\nThe only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder.\n\nPeople with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment.\n\n## What Loved Ones Should Know\nYou might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by:\n\n- Following them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans\n- Not dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you.\n- Being respectful and kind to them, without accepting any inappropriate behavior from them\n- Learning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness.\n- Getting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else\n\n## When to Get Emergency Help\nGet emergency help right away if you’re thinking of harming yourself or others.\n\n- Call or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org.\n- Call 911 or your local emergency services number.\n- Call the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255).\n\n## Takeaways\nSchizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a mental health professional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others.\n\n## Paranoid Schizophrenia FAQs\n**What is the behavior of someone with paranoid schizophrenia?**\n\nPeople with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information.\n\n**Can a person with paranoid schizophrenia live a normal life?**\n\nA person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system.\n\n**Is paranoid schizophrenia lifelong?**\n\nYes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning.\n\n- [Paranoid Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-paranoia)\n- [Types of Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-types)\n\nSources\n\nUpdate History\n\nShare\n\nPrint\n\nSave\n\nSOURCES:\n\nAmerican Psychiatric Association: \"Schizophrenia.\"\n\nNational Institute of Mental Health: \"What Is Schizophrenia?\" “Schizophrenia.”\n\nKing's College Institute of Psychiatry, Psychology & Neuroscience: \"Paranoia.\"\n\n*JAMA Psychiatry*: \"The Relationship Between Delusions and Violence: Findings From the East London First Episode Psychosis Study.\"\n\n*Schizophrenia Bulletin*: \"The Stress of the Street for Patients With Persecutory Delusions: A Test of the Symptomatic and Psychological Effects of Going Outside Into a Busy Urban Area.\"\n\nNational Alliance on Mental Illness: \"Psychosis.\"\n\nMedscape: \"Schizophrenia Treatment & Management.\"\n\nCleveland Clinic: “Paranoid Schizophrenia.”\n\nNational Institute on Aging: “Alzheimer's and Hallucinations, Delusions, and Paranoia.”\n\nMSD Manual Consumer Version: “Schizophrenia.”\n\nWorld Health Organization: “Schizophrenia.”\n\nStatPearls: “Schizophrenia.”\n\n*Current Psychiatry Reports*: “Non-Genetic Factors in Schizophrenia.”\n\n*Annals of Medicine and Surgery*: “Stigmatization of schizophrenic individuals and its correlation to the fear of violent offence. Should we be concerned?”\n\nNational Alliance on Mental Illness: “The Consequences of Stigma Surrounding Schizophrenia.”\n\n[View privacy policy, copyright and trust info](https:\/\/www.webmd.com\/about-webmd-policies\/about-privacy-policy)\n\nShare\n\nPrint\n\nSave\n\n[View privacy policy, copyright and trust info](https:\/\/www.webmd.com\/about-webmd-policies\/about-privacy-policy)\n\n### More on Schizophrenia\n![photo of more on depression](https:\/\/img.lb.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/article_thumbnails\/hpt_toc_redesign\/more_on\/MoreOn_Depression.jpg?resize=300px:*&output-quality=75)\n\n[An Overview of Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophrenia)\n\n[How to Keep Schizophrenia Symptoms in Check](https:\/\/www.webmd.com\/schizophrenia\/ss\/slideshow-schizophrenia-tips-living-with)\n\n[Helping Someone Stick With Schizophrenia Treatment](https:\/\/www.webmd.com\/schizophrenia\/features\/stay-on-schizophrenia-meds)\n\nRecommended\n\n![photo of human brain conceptual](https:\/\/img.lb.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/article_thumbnails\/hpt_toc_redesign\/schizophrenia_hpt_toc_redesign\/chapter_3_schizophrenia_1311467089.jpg?resize=500px:*&output-quality=75)\n\n### Related Links\n- [Schizophrenia News](https:\/\/www.webmd.com\/schizophrenia\/news-features)\n- [Schizophrenia Reference](https:\/\/www.webmd.com\/schizophrenia\/medical-reference\/default.htm)\n- [Schizophrenia Slideshows](https:\/\/www.webmd.com\/schizophrenia\/ss\/default.htm)\n- [Schizophrenia Videos](https:\/\/www.webmd.com\/schizophrenia\/video\/default.htm)\n- [Schizophrenia Blogs](https:\/\/blogs.webmd.com\/schizophrenia\/default.htm)\n- [Schizophrenia Medications](https:\/\/www.webmd.com\/drugs\/2\/condition-948\/schizophrenia)\n- [Find a Psychiatrist](https:\/\/doctor.webmd.com\/providers\/specialty\/psychiatry)\n- [Schizophrenia Overview](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophrenia)\n- [Schizophrenia Symptoms](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-symptoms)\n- [Schizophrenia Causes](https:\/\/www.webmd.com\/schizophrenia\/what-causes-schizophrenia)\n- [Schizophrenia Diagnosis](https:\/\/www.webmd.com\/schizophrenia\/diagnostic-tests-schizophrenia)\n- [Schizophrenia Treatment](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-therapy-types)\n- [Schizophrenia Relapse](https:\/\/www.webmd.com\/schizophrenia\/prevent-schizophrenia-relapse)\n- [Schizophrenia Complications](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-complications)\n- [Smoking Cessation](https:\/\/www.webmd.com\/smoking-cessation\/smoking-cessation-guide)\n- [Types of Mental Illness](https:\/\/www.webmd.com\/mental-health\/mental-health-types-illness)\n- [Anxiety\/Panic Disorders](https:\/\/www.webmd.com\/anxiety-panic\/anxiety-disorders)\n- [Bipolar Disorder](https:\/\/www.webmd.com\/bipolar-disorder\/mental-health-bipolar-disorder)\n- [Psychotic Depression](https:\/\/www.webmd.com\/depression\/psychotic-depression)\n- [Schizoaffective Disorder](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizoaffective-disorder)\n- [Schizophreniform Disorder](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophreniform-disorder)\n- [Drug Interaction Checker](https:\/\/www.webmd.com\/interaction-checker\/default.htm)\n\n### Sign up for our free Emotional Wellness Newsletter\n#### Get the latest updates on mental and emotional health\n\n![WebMD: Better information. 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This site is protected by reCAPTCHA and the Google [Privacy Policy](https:\/\/policies.google.com\/privacy) and [Terms of Service](https:\/\/policies.google.com\/terms) apply.\n\n### Follow WebMD on Social Media\n### Download WebMD App\n[![App Store Image](https:\/\/img.webmd.com\/vim\/live\/webmd\/consumer_assets\/site_images\/tocs\/community\/thumbnails\/ios-dwnld.png?resize=90:32)](https:\/\/taps.io\/Bzg3Q)[![Andriod Store Image](https:\/\/img.webmd.com\/vim\/live\/webmd\/consumer_assets\/site_images\/tocs\/community\/thumbnails\/android-dwnld.png?resize=90:32)](https:\/\/taps.io\/Bzg2w)\n\n[Policies]()\n\n[About]()\n\n[For Advertisers]()\n\n- [Privacy Policy](https:\/\/www.webmd.com\/about-webmd-policies\/about-privacy-policy)\n- [Cookie Policy](https:\/\/www.webmd.com\/about-webmd-policies\/cookie-policy)\n- [Editorial Policy](https:\/\/www.webmd.com\/about-webmd-policies\/about-editorial-policy)\n- [Advertising Policy](https:\/\/www.webmd.com\/about-webmd-policies\/about-advertising-policy)\n- [Correction Policy](https:\/\/www.webmd.com\/about-webmd-policies\/webmd-corrections-policies)\n- [Terms of Use](https:\/\/www.webmd.com\/about-webmd-policies\/about-terms-and-conditions-of-use)\n- [Accessibility Statement](https:\/\/www.webmd.com\/about-webmd-policies\/accessibility-statement)\n\n- [![TRUSTe](https:\/\/privacy-policy.truste.com\/privacy-seal\/seal?rid=07326333-3522-463d-81bf-f00fd7171fff)](https:\/\/privacy.truste.com\/privacy-seal\/validation?rid=07326333-3522-463d-81bf-f00fd7171fff)\n- ![TAG Registered Seal](https:\/\/img.webmd.com\/dtmcms\/live\/webmd\/consumer_assets\/site_images\/layout\/shared\/tag-registered.png?resize=*:60px)\n- ![Adchoices](https:\/\/img.webmd.com\/dtmcms\/live\/webmd\/consumer_assets\/site_images\/oncology\/1\/footer-images\/ad-choice.png)\n\n© 2005 - 2026 WebMD LLC, an [Internet Brands](https:\/\/www.internetbrands.com\/) company. All rights reserved. WebMD does not provide medical advice, diagnosis or treatment. [See additional information.](https:\/\/www.webmd.com\/about-webmd-policies\/additional-info)\n\n[![Logo for WebMD](https:\/\/img.wbmdstatic.com\/vim\/live\/webmd\/consumer_assets\/site_images\/oncology\/1\/images\/webmd-logo-white.svg)](https:\/\/www.webmd.com\/)","attrs_readable_markdown":"Paranoid schizophrenia is a term that was used to mean a type of [psychosis](https:\/\/www.webmd.com\/schizophrenia\/what-is-psychosis), which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia.\n\nParanoid schizophrenia involves:\n\n- Paranoia, which means you feel distrust, suspicious, and fearful of someone without any good reason,\n- Delusions, which means you believe something that people without the condition know is unreal as real.\n\nThese symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor.\n\nThe illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with.\n\nDelusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like:\n\n- A co-worker is trying to hurt you, like poisoning your food.\n- Your spouse or partner is cheating on you.\n- The government is spying on you.\n- People in your neighborhood are plotting to harass you.\n\nThese beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone.\n\nPeople with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home.\n\nYou could also have related [hallucinations](https:\/\/www.webmd.com\/schizophrenia\/what-are-hallucinations), in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of [paranoia](https:\/\/www.webmd.com\/mental-health\/why-paranoid).\n\nSchizophrenia is, basically, a biological problem that has to do with changes in your brain.\n\nIt could happen when:\n\n- You have imbalances in chemicals that brain cells use to communicate within your brain.\n- You have brain problems that started before you were born.\n- Your brain has trouble communicating in different areas.\n\nBut no one knows exactly what causes schizophrenia.\n\n**How common is it?**\n\n[Schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/mental-health-schizophrenia) isn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it.\n\n**Who gets it?**\n\nA person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if:\n\n- It runs in your family.\n- You use recreational drugs like cannabis.\n- You’ve been exposed to harmful substances in the environment.\n- You’ve had a brain infection.\n- Your parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during [pregnancy](https:\/\/www.webmd.com\/baby\/pregnancy-am-i-pregnant).\n- You're lonely or isolated.\n- You belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income.\n\nAlso, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth.\n\n**Paranoid schizophrenia triggers**\n\nExperts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with:\n\n- A stressful life event\n- A brain infection\n- Taking recreational drugs, particularly cannabis\n\nA doctor, likely a [psychiatrist](https:\/\/www.webmd.com\/a-to-z-guides\/what-is-psychiatrist), will diagnose schizophrenia by:\n\n- Asking about your symptoms, medical history, and personal and family history\n- Doing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate\n- Doing lab and imaging tests to check if your symptoms are due to other conditions\n\nThey might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if:\n\n- You’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior.\n- These symptoms seriously affect your work, social life, school, and relationships.\n\nYour doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life.\n\n**Paranoid schizophrenia medication**\n\nYour doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you.\n\nEven when you feel better, keep taking your medicine. If you stop, your delusions will probably come back.\n\nAvoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse.\n\nYou might have to take different kinds of drugs for other symptoms, too. Get more information about [medications used to treat schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/medicines-to-treat-schizophrenia).\n\n**Therapy**\n\nOnce your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends.\n\nPeople with schizophrenia who get counseling are also more likely to stick with their medications.\n\nA kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them.\n\nPositive, encouraging support from family and friends helps, too.\n\nBecause some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different [types of therapy for schizophrenia](https:\/\/www.webmd.com\/schizophrenia\/schizophrenia-therapy).\n\n**Hospitalization**\n\nThere might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia.\n\nSchizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge.\n\nYou might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease.\n\nWith the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia.\n\n- Follow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments.\n- Talk to your doctor about any new or distressing symptoms you have.\n- Your doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse.\n- Join support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the [National Alliance on Mental Illness](https:\/\/www.nami.org\/Support-Education\/support-groups\/) and [Schizophrenia & Psychosis Support](https:\/\/www.inspire.com\/groups\/scz-action\/).\n- Create a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress.\n\n**Schizophrenia stigma**\n\nMany people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others.\n\nThe only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder.\n\nPeople with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment.\n\nYou might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by:\n\n- Following them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans\n- Not dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you.\n- Being respectful and kind to them, without accepting any inappropriate behavior from them\n- Learning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness.\n- Getting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else\n\nGet emergency help right away if you’re thinking of harming yourself or others.\n\n- Call or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org.\n- Call 911 or your local emergency services number.\n- Call the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255).\n\nSchizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a mental health professional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others.\n\n**What is the behavior of someone with paranoid schizophrenia?**\n\nPeople with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information.\n\n**Can a person with paranoid schizophrenia live a normal life?**\n\nA person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system.\n\n**Is paranoid schizophrenia lifelong?**\n\nYes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning.","meta_canonical":null}

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Meta Description	Paranoid schizophrenia is a type of schizophrenia accompanied by paranoia. Delusions and hallucinations are the two symptoms. Learn about the support and treatment at WebMD.
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Boilerpipe Text	Paranoid schizophrenia is a term that was used to mean a type of psychosis , which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia. Paranoid schizophrenia involves: Paranoia, which means you feel distrust, suspicious, and fearful of someone without any good reason, Delusions, which means you believe something that people without the condition know is unreal as real. These symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor. The illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with. Delusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like: A co-worker is trying to hurt you, like poisoning your food. Your spouse or partner is cheating on you. The government is spying on you. People in your neighborhood are plotting to harass you. These beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone. People with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home. You could also have related hallucinations , in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of paranoia . Schizophrenia is, basically, a biological problem that has to do with changes in your brain. It could happen when: You have imbalances in chemicals that brain cells use to communicate within your brain. You have brain problems that started before you were born. Your brain has trouble communicating in different areas. But no one knows exactly what causes schizophrenia. How common is it? Schizophrenia isn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it. Who gets it? A person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if: It runs in your family. You use recreational drugs like cannabis. You’ve been exposed to harmful substances in the environment. You’ve had a brain infection. Your parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during pregnancy . You're lonely or isolated. You belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income. Also, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth. Paranoid schizophrenia triggers Experts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with: A stressful life event A brain infection Taking recreational drugs, particularly cannabis A doctor, likely a psychiatrist , will diagnose schizophrenia by: Asking about your symptoms, medical history, and personal and family history Doing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate Doing lab and imaging tests to check if your symptoms are due to other conditions They might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if: You’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior. These symptoms seriously affect your work, social life, school, and relationships. Your doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life. Paranoid schizophrenia medication Your doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you. Even when you feel better, keep taking your medicine. If you stop, your delusions will probably come back. Avoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse. You might have to take different kinds of drugs for other symptoms, too. Get more information about medications used to treat schizophrenia . Therapy Once your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends. People with schizophrenia who get counseling are also more likely to stick with their medications. A kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them. Positive, encouraging support from family and friends helps, too. Because some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different types of therapy for schizophrenia . Hospitalization There might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia. Schizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge. You might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease. With the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia. Follow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments. Talk to your doctor about any new or distressing symptoms you have. Your doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse. Join support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the National Alliance on Mental Illness and Schizophrenia & Psychosis Support . Create a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress. Schizophrenia stigma Many people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others. The only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder. People with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment. You might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by: Following them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans Not dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you. Being respectful and kind to them, without accepting any inappropriate behavior from them Learning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness. Getting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else Get emergency help right away if you’re thinking of harming yourself or others. Call or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org. Call 911 or your local emergency services number. Call the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255). Schizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a mental health professional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others. What is the behavior of someone with paranoid schizophrenia? People with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information. Can a person with paranoid schizophrenia live a normal life? A person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system. Is paranoid schizophrenia lifelong? Yes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning.
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[View Full Guide](https://www.webmd.com/schizophrenia/default.htm) # What Is Paranoid Schizophrenia? ![](https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/biographies/sheikh_zilpah_382x382.jpg?resize=51px:51px&output-quality=75) Written by Frances Gatta, Terri D'Arrigo Medically Reviewed by [Zilpah Sheikh, MD](https://www.webmd.com/bio/zilpah-sheikh) on July 24, 2024 - [What Is Paranoid Schizophrenia?](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-1-1) - [Paranoid Schizophrenia Symptoms](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-2-2) - [Paranoid Schizophrenia Causes](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-3-3) - [Paranoid Schizophrenia Diagnosis](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-4-5) - [Paranoid Schizophrenia Treatment](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-4-6) - [Living With Paranoid Schizophrenia](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-7-9) - [What Loved Ones Should Know](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-9-11) - [When to Get Emergency Help](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-9-12) - [Takeaways](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-10-13) - [Paranoid Schizophrenia FAQs](https://www.webmd.com/schizophrenia/schizophrenia-paranoia#091e9c5e812a44db-10-14) 8 min read ## What Is Paranoid Schizophrenia? Paranoid schizophrenia is a term that was used to mean a type of [psychosis](https://www.webmd.com/schizophrenia/what-is-psychosis), which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia. Paranoid schizophrenia involves: - Paranoia, which means you feel distrust, suspicious, and fearful of someone without any good reason, - Delusions, which means you believe something that people without the condition know is unreal as real. These symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor. The illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with. ## Paranoid Schizophrenia Symptoms Delusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like: - A co-worker is trying to hurt you, like poisoning your food. - Your spouse or partner is cheating on you. - The government is spying on you. - People in your neighborhood are plotting to harass you. These beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone. People with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home. You could also have related [hallucinations](https://www.webmd.com/schizophrenia/what-are-hallucinations), in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of [paranoia](https://www.webmd.com/mental-health/why-paranoid). ## Paranoid Schizophrenia Causes Schizophrenia is, basically, a biological problem that has to do with changes in your brain. It could happen when: - You have imbalances in chemicals that brain cells use to communicate within your brain. - You have brain problems that started before you were born. - Your brain has trouble communicating in different areas. But no one knows exactly what causes schizophrenia. How common is it? [Schizophrenia](https://www.webmd.com/schizophrenia/mental-health-schizophrenia) isn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it. Who gets it? A person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if: - It runs in your family. - You use recreational drugs like cannabis. - You’ve been exposed to harmful substances in the environment. - You’ve had a brain infection. - Your parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during [pregnancy](https://www.webmd.com/baby/pregnancy-am-i-pregnant). - You're lonely or isolated. - You belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income. Also, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth. Paranoid schizophrenia triggers Experts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with: - A stressful life event - A brain infection - Taking recreational drugs, particularly cannabis ## Paranoid Schizophrenia Diagnosis A doctor, likely a [psychiatrist](https://www.webmd.com/a-to-z-guides/what-is-psychiatrist), will diagnose schizophrenia by: - Asking about your symptoms, medical history, and personal and family history - Doing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate - Doing lab and imaging tests to check if your symptoms are due to other conditions They might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if: - You’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior. - These symptoms seriously affect your work, social life, school, and relationships. ## Paranoid Schizophrenia Treatment Your doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life. Paranoid schizophrenia medication Your doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you. Even when you feel better, keep taking your medicine. If you stop, your delusions will probably come back. Avoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse. You might have to take different kinds of drugs for other symptoms, too. Get more information about [medications used to treat schizophrenia](https://www.webmd.com/schizophrenia/medicines-to-treat-schizophrenia). Therapy Once your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends. People with schizophrenia who get counseling are also more likely to stick with their medications. A kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them. ![](https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/articles/health_tools/who_are_the_members_of_your_migrainse_care_team_slideshow/1800ss_getty_rf_talk_therapy_session.jpg?resize=750px:&output-quality=75) Going to therapy regularly can help you identify and manage your schizophrenia symptoms. (Photo Credit: Moment/Getty Images) Positive, encouraging support from family and friends helps, too. Because some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different [types of therapy for schizophrenia](https://www.webmd.com/schizophrenia/schizophrenia-therapy). Hospitalization* There might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia. ## Living With Paranoid Schizophrenia Schizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge. You might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease. With the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia. - Follow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments. - Talk to your doctor about any new or distressing symptoms you have. - Your doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse. - Join support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the [National Alliance on Mental Illness](https://www.nami.org/Support-Education/support-groups/) and [Schizophrenia & Psychosis Support](https://www.inspire.com/groups/scz-action/). - Create a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress. Schizophrenia stigma Many people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others. The only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder. People with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment. ## What Loved Ones Should Know You might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by: - Following them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans - Not dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you. - Being respectful and kind to them, without accepting any inappropriate behavior from them - Learning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness. - Getting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else ## When to Get Emergency Help Get emergency help right away if you’re thinking of harming yourself or others. - Call or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org. - Call 911 or your local emergency services number. - Call the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255). ## Takeaways Schizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a mental health professional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others. ## Paranoid Schizophrenia FAQs What is the behavior of someone with paranoid schizophrenia? People with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information. Can a person with paranoid schizophrenia live a normal life? A person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system. Is paranoid schizophrenia lifelong? Yes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning. - [Paranoid Schizophrenia](https://www.webmd.com/schizophrenia/schizophrenia-paranoia) - [Types of Schizophrenia](https://www.webmd.com/schizophrenia/schizophrenia-types) Sources Update History Share Print Save SOURCES: American Psychiatric Association: "Schizophrenia." National Institute of Mental Health: "What Is Schizophrenia?" “Schizophrenia.” King's College Institute of Psychiatry, Psychology & Neuroscience: "Paranoia." JAMA Psychiatry: "The Relationship Between Delusions and Violence: Findings From the East London First Episode Psychosis Study." Schizophrenia Bulletin: "The Stress of the Street for Patients With Persecutory Delusions: A Test of the Symptomatic and Psychological Effects of Going Outside Into a Busy Urban Area." National Alliance on Mental Illness: "Psychosis." Medscape: "Schizophrenia Treatment & Management." Cleveland Clinic: “Paranoid Schizophrenia.” National Institute on Aging: “Alzheimer's and Hallucinations, Delusions, and Paranoia.” MSD Manual Consumer Version: “Schizophrenia.” World Health Organization: “Schizophrenia.” StatPearls: “Schizophrenia.” Current Psychiatry Reports: “Non-Genetic Factors in Schizophrenia.” Annals of Medicine and Surgery: “Stigmatization of schizophrenic individuals and its correlation to the fear of violent offence. Should we be concerned?” National Alliance on Mental Illness: “The Consequences of Stigma Surrounding Schizophrenia.” [View privacy policy, copyright and trust info](https://www.webmd.com/about-webmd-policies/about-privacy-policy) Share Print Save [View privacy policy, copyright and trust info](https://www.webmd.com/about-webmd-policies/about-privacy-policy) ### More on Schizophrenia ![photo of more on depression](https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/hpt_toc_redesign/more_on/MoreOn_Depression.jpg?resize=300px:&output-quality=75) [An Overview of Schizophrenia](https://www.webmd.com/schizophrenia/mental-health-schizophrenia) [How to Keep Schizophrenia Symptoms in Check](https://www.webmd.com/schizophrenia/ss/slideshow-schizophrenia-tips-living-with) [Helping Someone Stick With Schizophrenia Treatment](https://www.webmd.com/schizophrenia/features/stay-on-schizophrenia-meds) Recommended ![photo of human brain conceptual](https://img.lb.wbmdstatic.com/vim/live/webmd/consumer_assets/site_images/article_thumbnails/hpt_toc_redesign/schizophrenia_hpt_toc_redesign/chapter_3_schizophrenia_1311467089.jpg?resize=500px:&output-quality=75) ### Related Links - [Schizophrenia News](https://www.webmd.com/schizophrenia/news-features) - [Schizophrenia Reference](https://www.webmd.com/schizophrenia/medical-reference/default.htm) - [Schizophrenia Slideshows](https://www.webmd.com/schizophrenia/ss/default.htm) - [Schizophrenia Videos](https://www.webmd.com/schizophrenia/video/default.htm) - [Schizophrenia Blogs](https://blogs.webmd.com/schizophrenia/default.htm) - [Schizophrenia Medications](https://www.webmd.com/drugs/2/condition-948/schizophrenia) - [Find a Psychiatrist](https://doctor.webmd.com/providers/specialty/psychiatry) - [Schizophrenia Overview](https://www.webmd.com/schizophrenia/mental-health-schizophrenia) - [Schizophrenia Symptoms](https://www.webmd.com/schizophrenia/schizophrenia-symptoms) - [Schizophrenia Causes](https://www.webmd.com/schizophrenia/what-causes-schizophrenia) - [Schizophrenia Diagnosis](https://www.webmd.com/schizophrenia/diagnostic-tests-schizophrenia) - [Schizophrenia Treatment](https://www.webmd.com/schizophrenia/schizophrenia-therapy-types) - [Schizophrenia Relapse](https://www.webmd.com/schizophrenia/prevent-schizophrenia-relapse) - [Schizophrenia Complications](https://www.webmd.com/schizophrenia/schizophrenia-complications) - [Smoking Cessation](https://www.webmd.com/smoking-cessation/smoking-cessation-guide) - [Types of Mental Illness](https://www.webmd.com/mental-health/mental-health-types-illness) - [Anxiety/Panic Disorders](https://www.webmd.com/anxiety-panic/anxiety-disorders) - [Bipolar Disorder](https://www.webmd.com/bipolar-disorder/mental-health-bipolar-disorder) - [Psychotic Depression](https://www.webmd.com/depression/psychotic-depression) - [Schizoaffective Disorder](https://www.webmd.com/schizophrenia/mental-health-schizoaffective-disorder) - [Schizophreniform Disorder](https://www.webmd.com/schizophrenia/mental-health-schizophreniform-disorder) - [Drug Interaction Checker](https://www.webmd.com/interaction-checker/default.htm) ### Sign up for our free Emotional Wellness Newsletter #### Get the latest updates on mental and emotional health ![WebMD: Better information. 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Readable Markdown	Paranoid schizophrenia is a term that was used to mean a type of [psychosis](https://www.webmd.com/schizophrenia/what-is-psychosis), which means your mind doesn't agree with reality. But the American Psychiatric Association declared it outdated in 2013, and experts no longer use the term; instead, they describe it as schizophrenia. Paranoid schizophrenia involves: - Paranoia, which means you feel distrust, suspicious, and fearful of someone without any good reason, - Delusions, which means you believe something that people without the condition know is unreal as real. These symptoms can affect how you think and behave and can show up in different ways and at different times, even in the same person. Having paranoid schizophrenia can also make it hard for them to hold a job, run errands, have friendships, and even go to the doctor. The illness usually starts in late adolescence or young adulthood. Although it's lifelong, medicines and therapy can help you manage your symptoms and make them easier to live with. Delusions are fixed beliefs that seem real to you, even when there's strong evidence they aren't. Paranoid delusions, also called delusions of persecution, reflect profound fear and anxiety along with the loss of the ability to tell what's real and what's not real. They might make you feel like: - A co-worker is trying to hurt you, like poisoning your food. - Your spouse or partner is cheating on you. - The government is spying on you. - People in your neighborhood are plotting to harass you. These beliefs can cause trouble in your relationships. And if you think that strangers are going to hurt you, you may feel like staying inside or being alone. People with schizophrenia aren't usually violent. But sometimes, paranoid delusions can make them feel threatened and angry. If someone is pushed over the edge, their actions usually focus on family members, not the public, and it happens at home. You could also have related [hallucinations](https://www.webmd.com/schizophrenia/what-are-hallucinations), in which your senses aren’t working right. For example, you may hear voices that make fun of you or insult you. They might also tell you to do harmful things. Or you might see things that aren’t really there. Learn more about the symptoms of [paranoia](https://www.webmd.com/mental-health/why-paranoid). Schizophrenia is, basically, a biological problem that has to do with changes in your brain. It could happen when: - You have imbalances in chemicals that brain cells use to communicate within your brain. - You have brain problems that started before you were born. - Your brain has trouble communicating in different areas. But no one knows exactly what causes schizophrenia. How common is it? [Schizophrenia](https://www.webmd.com/schizophrenia/mental-health-schizophrenia) isn’t as common as many other mental health problems, but many people know of it. About 24 million, or one in 300, people worldwide have it. Who gets it? A person’s genes can explain about 80% of the risk for schizophrenia. Environmental factors also play a role in who gets this condition. You’re more likely to have schizophrenia if: - It runs in your family. - You use recreational drugs like cannabis. - You’ve been exposed to harmful substances in the environment. - You’ve had a brain infection. - Your parent had birth-related problems before, during, or after your birth, like not having had enough oxygen during delivery, having an emergency cesarean section, and bleeding during [pregnancy](https://www.webmd.com/baby/pregnancy-am-i-pregnant). - You're lonely or isolated. - You belong to a lower socioeconomic class. Maybe you’re unemployed, live in a stressful environment, and have a low income. Also, people assigned male at birth are diagnosed with this condition almost twice more often than people assigned female at birth. Paranoid schizophrenia triggers Experts are unsure about what could particularly trigger schizophrenia. But it could potentially happen with: - A stressful life event - A brain infection - Taking recreational drugs, particularly cannabis A doctor, likely a [psychiatrist](https://www.webmd.com/a-to-z-guides/what-is-psychiatrist), will diagnose schizophrenia by: - Asking about your symptoms, medical history, and personal and family history - Doing a physical exam, checking your general appearance and vital signs like blood pressure and heart rate - Doing lab and imaging tests to check if your symptoms are due to other conditions They might diagnose you with schizophrenia, following the Diagnostic and Statistical Manual of Mental Disorders, 5th ed, Text Revision (DSM-5-TR), if: - You’ve had delusions, hallucinations, or speech problems, and one other schizophrenia symptom, like disorganized behavior. - These symptoms seriously affect your work, social life, school, and relationships. Your doctor will create a treatment plan that includes medicines, therapy, and lifestyle changes to help you manage your symptoms and function in everyday life. Paranoid schizophrenia medication Your doctor may prescribe an antipsychotic drug to prevent or stop symptoms like delusions. It could be pills, a liquid, or shots. It can take a few weeks for these drugs to work fully, but you could start to feel a little calmer quickly. You might need to try more than one to find a medication or combination that's right for you. Even when you feel better, keep taking your medicine. If you stop, your delusions will probably come back. Avoid using marijuana, alcohol, nicotine, cocaine or other stimulants, and street drugs. They can keep antipsychotic medicines from working well. They can also cause paranoia or make it worse. You might have to take different kinds of drugs for other symptoms, too. Get more information about [medications used to treat schizophrenia](https://www.webmd.com/schizophrenia/medicines-to-treat-schizophrenia). Therapy Once your symptoms are under control, therapy can help you get along with others, hold a job, go to school, take care of yourself, and have friends. People with schizophrenia who get counseling are also more likely to stick with their medications. A kind of therapy called cognitive behavioral therapy can teach you how to manage symptoms that don't go away, even when you take your medicine. You'll learn to identify whether you're having delusions and how to manage them. Positive, encouraging support from family and friends helps, too. Because some antipsychotic drugs can make you gain weight, you might also want to get help with diet and exercise. Read more on the different [types of therapy for schizophrenia](https://www.webmd.com/schizophrenia/schizophrenia-therapy). Hospitalization There might be times when your symptoms are so severe that you have to go to the hospital. You can be admitted voluntarily if you recognize that you're having trouble. But if you think you don't need help when you do, the law may allow a doctor or other mental health professional to admit you involuntarily if you are unable to care for yourself or may potentially cause harm to yourself or someone else. Call the doctor or 911 for severe psychosis symptoms with schizophrenia. Schizophrenia can affect your physical, emotional, mental, and social health, all of which make living with it a challenge. You might have thinking problems that affect how you can do daily activities. You might withdraw from interacting with people, which could cause you to become lonely. Keeping your personal hygiene, job, and home can also be a struggle with symptoms of schizophrenia. It’s also likely that you might have other health problems, like heart disease. With the right support system, which includes having a solid relationship with your doctor, loved ones, and support groups, you can learn to live actively and intentionally with schizophrenia. - Follow your treatment plan as prescribed, take your medicine as often as possible, and meet your doctor and therapy appointments. - Talk to your doctor about any new or distressing symptoms you have. - Your doctor will likely put you on a program to treat any substance use disorder. Try not to take any recreational substances or alcohol. They can make your symptoms worse. - Join support groups to meet people you can relate to and learn from. Support groups can help ease the loneliness common with schizophrenia, too. You can find support groups near you at the [National Alliance on Mental Illness](https://www.nami.org/Support-Education/support-groups/) and [Schizophrenia & Psychosis Support](https://www.inspire.com/groups/scz-action/). - Create a strong support system that includes your loved ones and doctor, and talk to them as often as you need when facing any distress. Schizophrenia stigma Many people tend to link schizophrenia with violence, aggression, and strange behavior, especially due to how the media depicts it. This misconception only adds to the difficulties of living with schizophrenia, causing people with the condition to struggle with having meaningful social interactions and relationships. In reality, people with schizophrenia are less likely to be violent, compared to those without the condition, and are more likely to be harmed by others. The only times a person with schizophrenia can be violent is when they don’t get any treatment for their condition or have an untreated substance use disorder. People with schizophrenia are often discriminated against and have their rights violated. This unfair treatment makes it harder for them to have things that support a decent and comfortable life, like health care, a home, and employment. You might still feel disconnected from a loved one with schizophrenia even when you try to unlearn any negative beliefs about schizophrenia and better understand their condition and relate to them. Even so, you can still build a trusting relationship with them and help them as best as you can by: - Following them to their appointments whenever they need you to, and encouraging them to keep up with their treatment plans - Not dismissing their symptoms. Talk with them about them, no matter how strange their behavior might seem to you. - Being respectful and kind to them, without accepting any inappropriate behavior from them - Learning more about their condition through family education programs and support groups. You can find these resources at the National Alliance on Mental Illness. - Getting medical help right away if they show symptoms of serious paranoia or agitation, act violently, or talk about harming themselves or someone else Get emergency help right away if you’re thinking of harming yourself or others. - Call or text the Suicide and Crisis Lifeline at 988 or chat at 988lifeline.org. - Call 911 or your local emergency services number. - Call the National Suicide Prevention Lifeline by dialing 800-273-TALK (800-273-8255). Schizophrenia is a serious mental health problem that can seriously interfere with your relationship with yourself, the people around you, and your environment. If you think you have schizophrenia symptoms or worry about your mental health, talk to your doctor. They might refer you to a mental health professional like a psychiatrist for diagnosis and treatment. Also, try to maintain a close relationship with your family, friends, and doctors, and consider joining support groups, too. Get medical help right away if you have any thoughts of harming yourself or others. What is the behavior of someone with paranoid schizophrenia? People with paranoid schizophrenia may have hallucinations, delusions, and unusual ways of thinking and expressing themselves. They might lose interest in activities that might seem enjoyable to others, be isolated from people, and find it difficult to understand and use information. Can a person with paranoid schizophrenia live a normal life? A person with paranoid schizophrenia can create a life that is normal and functional for them, and they can live well when they get treatment and have a strong support system. Is paranoid schizophrenia lifelong? Yes, schizophrenia is lifelong, but treatment can help manage symptoms and improve daily functioning.
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