Paranoid Personality Disorder
As the name implies, this disorder is characterized by paranoia and distrust. It is also characterized by excessive sensitivity to failure, tendency to hold grudges, aggressive sense of complacency, excessive self-restraint, and the belief of conspiracy theories. Individuals with this diagnosis cannot have their cognition explained by delusional disorder or schizophrenia. PPD is not psychosis, as the patient has not lost touch with reality.

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A man is described by his neighbors as a recluse who lives alone and rarely interacts with anyone. He has elaborate, unfounded beliefs about government surveillance, which he explains in a vague and metaphorical way. He dresses in unusual, mismatched clothing regardless of the weather. Based on this description, which of the following best categorizes his enduring pattern of behavior?