Paranoia is a common component of schizophrenia, a condition that research shows can run in families, Dr. “People with PTSD may have paranoid thoughts related to past traumatic experiences,” he explains. Paranoia can also be a response to extreme stress or underlying mental health conditions such as post-traumatic stress disorder (PTSD), says Sultan. It’s likely a combination of genetic and environmental factors, including childhood trauma or neglect, a family history of mental health conditions associated with paranoia, trauma in adulthood, and substance use, says Leslie Dobson, PsyD, a clinical and forensic psychologist in Long Beach, California. Rather, paranoia is a symptom or feature that can be associated with certain mental health conditions or issues.Įxperts don’t yet know the exact cause of paranoia, per Mental Health America. Paranoia itself is not a clinical diagnosis, Dr.
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