Anonymous
Guest
Anonymous
Guest
I suppose this is based on your extensive knowledge of......?
That's right. You never post anything of substance. One-line remarks are about as much as you can muster. I can't convince you to leave this board, so we'll keep taking swipes at each other, I suppose.
Are you that Delusional that you think there is only one person questioning your sanity?
I'm the one who you think is an LCA attorney, not the one who you just reponded to.
Maybe this can help:
Paranoia.
These may include a physical examination or other medical tests. Your doctor may ask several questions when assessing your condition. It is important to remember that your consultation is a two-way process and any extra information you can share with your doctor may help them with their diagnosis.
Some of the questions your doctor may ask are listed below:
May need to get some history from family members and friends. Paranoid people are most likely to present following requests by family and friends. Paranoid people are by nature suspicious of others and they do not often present voluntarily for care
How long have you noticed the paranoia?
Why: to determine if acute or chronic. If acute in nature must consider delirium or a new onset of psychiatric illness as a possible cause of delusion. Delirium is an acute confusional state due to many causes e.g. infection, drug intoxication, alcohol withdrawal, hypoxia (reduced oxygen levels in the blood), stroke or head injury. If the onset is chronic a diagnosis of a psychiatric illness or dementia may be more likely.
What are the symptoms and features of the paranoid thoughts?
Why: e.g. general suspiciousness; fears and beliefs that they are being persecuted, taken advantage of, or wronged in some way; inability to trust or confide in others; hostility if it is perceived that others are prying or scheming against the person; reluctance to sign any sort of paper work; excessive concern about confidentiality; refusal to accept medication or other forms of treatment due to suspiciousness or lack of trust in the clinician's motives; history of repeated terminations of employment.
How would you describe the person's personality?
Why: Paranoia may be a personality trait characterized by social isolation, hypersensitivity and suspiciousness that may lie inside or outside the range of "normal" behavior. People are diverse and some people have more paranoid beliefs or beliefs in conspiracy theories than other people.
Was there a known precipitating factor to the paranoid thoughts and behavior?
Why: e.g. physical illness, starting a different medication, abstaining from alcohol. Paranoid thinking is likely to be heightened by stress.
History of head injury?
Why: Paranoid thinking may occur in association with brain injury.
Past psychiatric history?
Why: Paranoia may be one of the many difficult symptoms associated with a diagnosed mental disorder such as schizophrenia, bipolar affective disorder, paranoid delusional disorder, paranoid personality disorder or schizotypal personality disorder.
Family history?
Why: e.g. dementia, Alzheimer's disease, Huntington's disease, schizophrenia, bipolar affective disorder, depression and prophyria.
Alcohol history?
Why: to assess chance of alcohol withdrawal, alcohol abuse or head injury.
Illicit drug use history?
Why: Abuse of stimulant or hallucinogenic drugs such as amphetamine, marijuana, cocaine, LSD, PCP may cause paranoid thinking and may also precipitate acute psychosis.