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Records stated that the “patient is delusional, in a state of acute psychosis, easily agitated.” He was brought to the emergency department by police for concerns of psychosis and delusions.

J” is a 65-year-old Caucasian man with no prior psychiatric history, history of chronic obstructive pulmonary disease, and a benign vocal cord lesion. Does not occur exclusively during the course of schizophrenia, a bipolar disorder or a depressive disorder with psychotic features, or another psychotic disorder and is not attributable to the physiological effects of another medical condition. Has recurrent suspicions, without justification, regarding fidelity of spouse or sexual partner.ī. Perceives attacks on his or her character or reputation that are not apparent to others and is quick to react angrily or to counterattack.ħ. Persistently bears grudges (i.e., is unforgiving of insults, injuries, or slights).Ħ. Reads hidden demeaning or threatening meanings into benign remarks or events.ĥ. Is reluctant to confide in others because of unwarranted fear that the information will be used maliciously against him or her.Ĥ. Is preoccupied with unjustified doubts about the loyalty or trustworthiness of friends or associates.ģ. Suspects, without sufficient basis, that others are exploiting, harming, or deceiving him or her.Ģ.

A pervasive distrust and suspiciousness of others such that their motives are interpreted as malevolent, beginning by early adulthood and present in a variety of contexts, as indicated by four (or more) of the following:ġ. DSM-5 Criteria for Paranoid Personality Disorder a A.