What PD is characterized by pervasive distrust and suspiciousness of others?

• A. Histrionic Personality Disorder
• B. Paranoid Personality Disorder
• C. Schizoid Personality Disorder
• D. Narcissistic Personality Disorder

Answer: (B)

Pervasive distrust and suspiciousness of others is the defining feature of Paranoid Personality Disorder. People with this pattern tend to interpret others’ actions as threatening or deceitful, persistently doubt the loyalty or honesty of friends and partners, and often read hidden meanings into ordinary comments. They may be reluctant to confide in others because they fear information will be used against them, and they commonly hold grudges, suspecting others of ulterior motives. This mindset leads to strained relationships and social isolation, and it sets them apart from other personality patterns.

In contrast, excessive need for attention and dramatic emotionality describe Histrionic Personality Disorder; a long-standing detachment from social relationships and limited emotional expression describe Schizoid Personality Disorder; and a preoccupation with self-importance and a lack of empathy describe Narcissistic Personality Disorder.