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A 37-year-old member asked:

What's the difference between paranoia and delusions?

2 doctor answers5 doctors weighed in
Dr. Maureen Nash
Geriatric Psychiatry 24 years experience
They can be related: Paranoia involves being suspicious and this often leads to being fearful. Delusions are defined as fixed false beliefs. Often if you are paranoid and suspicious of someone this is followed by a delusional belief. Paranoia and delusions can occur in many different illnesses, not just schizophrenia.
Dr. Susan Uhrich
Psychiatry 36 years experience
Sometimes degree: Delusions are things a person believes despite evidence to the contrary. Paranoia can be a type of delusion and in that case may not respond to treatment. However, the feeling of paranoia can be treated.

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Last updated Jan 20, 2018
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