Paranoid Delusional Disorder Follows Social Anxiety Disorder in a Long-Term Case Series

Veras, André Barciela; Souza, Thalita Gabínio e; Ricci, Thaysse Gomes; Peixoto, Clayton; Moryiama, Matheus César; Nardi, Antônio Egídio; Malaspina, Dolores; Kahn, Jeffrey P.

doi:10.1097/nmd.0000000000000311

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…Evolutionary accounts of paranoia have been proposed before (1,2) but have largely focused on paranoia as over-sensitive or misplaced social threat perception (1). Given that misperceiving social threat would seem to be a serious problem for forming and maintaining productive social relationships, this article focuses on an evolutionary account of why paranoid thinking is such a common human characteristic and why paranoia can become intense and disabling after many forms of social, psychological and neurological difficulties.…”

Section: Introductionmentioning

confidence: 99%

An evolutionary perspective on paranoia

Raihani¹,

Bell²

2018

Preprint

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Although paranoia is the most commonly presenting symptom of psychosis, paranoid thoughts occur frequently in the general population and range widely in severity, from mild socio-evaluative concerns to frank delusions about the harmful intentions of others. Furthermore, paranoia commonly appears after a surprisingly diverse range of difficulties including trauma, brain injury, sleep deprivation, drug use, and psychiatric and neurological disorder. Evolutionary accounts of paranoia have been proposed before but have largely focused on paranoia as a misplaced threat response. Although social threat is clearly a key component, the experience of paranoia is markedly more complex than these accounts would lead us to believe: paranoia can involve multiple alterations in the perception of the social environment, the identification of specific but seemingly arbitrary groups as the source of persecution, and extended beliefs about conspiracy and complex coordination between the perceived persecutors. Here, we argue for an evolutionary approach to paranoia that more fully accounts for its complex social phenomenology and considers how it can be understood in light of our evolved social cognition. More specifically, in terms of the ability to form coalitions and coordinate between groups in situations of cooperation and competition.

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Section: Introductionmentioning

confidence: 99%

An evolutionary perspective on paranoia

Raihani¹,

Bell²

2018

Preprint

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“…In this article we argue that paranoia involves all of these socio-cognitive abilities and that the human ability for paranoid thinking evolved in response to these social selection pressures. Evolutionary accounts of paranoia have been proposed before 11,12 but have not fully accounted for the full phenomenological complexity of paranoia, nor shown how such a perspective has the potential to explain variation in paranoia both across contexts and over development. We explore why paranoid thinking is such a common human characteristic and why paranoia can become intense and disabling after many forms of social, psychological and neurological difficulties.…”

mentioning

confidence: 99%

An evolutionary perspective on paranoia

Raihani

Bell

2018

Nat Hum Behav

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Paranoia is the most common symptom of psychosis but paranoid concerns occur throughout the general population. Here, we argue for an evolutionary approach to paranoia across the spectrum of severity that accounts for its complex social phenomenology – including the perception of conspiracy and selective identification of perceived persecutors – and considers how it can be understood in light of our evolved social cognition. We argue that the presence of coalitions and coordination between groups in competitive situations could favour psychological mechanisms that detect, anticipate and avoid social threats. Our hypothesis makes testable predictions about the environments in which paranoia should be most common as well as the developmental trajectory of paranoia across the lifespan. We suggest that paranoia should not solely be viewed as a pathological symptom of a mental disorder but also as a part of a normally-functioning human psychology.

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“…49 Veras et al reported four cases of patients first diagnosed with social anxiety disorder (SAD), followed, after a period of time, by a diagnosis of DD. 50 This shows that SAD, in some cases, can be a prodromal form of DD.…”

Section: Primary and Secondary Preventive Strategies On An Individual...mentioning

confidence: 92%

“…Social anxiety disorder (SAD) SAD can lead to delusions. 50 CBT for SAD. 50 Panic attacks Anticipatory anxiety and panic can lead to DD.…”

Section: Anxiety Comorbiditiesmentioning

confidence: 99%

Primary and Secondary Prevention in Delusional Disorder

González-Rodríguez¹,

Seeman²

2022

J Explor Res Pharmacol

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Background and objectives: Delusional disorder (DD), once entrenched, responds poorly to currently available treatment. This calls for community and individual preventive measures. Our goal was to conduct a literature review exploring the possibilities of prevention.Methods: This is a narrative review based on the PubMed database from inception until July 2022. Search terms were "delusional disorder" OR "delusional psychosis", AND "prevention," OR "early detection," OR "early treatment." Results:We found very little literature specific to DD, but considerable evidence for primary and secondary preventive strategies in use for delusional psychosis (a psychotic illness with prominent delusions). Community strategies included addressing socioeconomic disadvantage and mental health stigma, improving mental health service accessibility, screening for and treating potential precursors to DD, such as sensory and cognitive deficits, as well as psychiatric. symptoms such as depression, anxiety, sleep disturbance, and substance abuse. Secondary community prevention relied on early detection programs and specialized services for early treatment of DD symptoms and their co-morbidities. Individual forms of secondary prevention were interventions especially geared toward illness denial, treatment nonresponse and antipsychotic (AP) refusal. Effective secondary prevention reduced symptom intensity and diminished the risk for fatal outcomes such as suicide.Conclusions: Based mostly on the evidence from related disorders, preventive and early treatment strategies, when put into

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Paranoid Delusional Disorder Follows Social Anxiety Disorder in a Long-Term Case Series

Cited by 6 publications

References 14 publications

An evolutionary perspective on paranoia

An evolutionary perspective on paranoia

An evolutionary perspective on paranoia

Primary and Secondary Prevention in Delusional Disorder

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