Managing Paranoid Personality Disorder (PPD) with psychotherapy and counseling requires a careful, structured approach. Since individuals with PPD often struggle with trust and suspicion, therapy must be adapted to build rapport gradually. Here’s how different therapeutic approaches can help: 1. Cognitive-Behavioral Therapy (CBT) Challenge distorted thinking: Helps patients recognize and modify paranoid thoughts. Reality testing: Encourages questioning of suspicious beliefs. Coping strategies: Develops ways to manage anxiety and distrust in relationships. 2. Supportive Therapy Provides a safe and non-confrontational space for expression. Focuses on building trust over time with a consistent therapist. Reinforces healthy coping mechanisms and emotional regulation. 3. Psychodynamic Therapy Explores underlying fears and past experiences that fuel paranoia. Addresses defense mechanisms (e.g., projection of fears onto others). Strengthens self-awareness to reduce interpersonal conflicts. 4. Group Therapy (With Caution) Can improve social skills and reduce isolation. Must be carefully structured to avoid triggering suspicion. 5. Family Therapy Helps educate family members about PPD. Improves communication and reduces conflicts. Additional Strategies Avoid direct confrontation of delusional beliefs. Build rapport slowly—consistency is key. Encourage journaling to track suspicious thoughts. Medication (if needed)—Antidepressants or low-dose antipsychotics may help with anxiety and mood symptoms. Would you like strategies for a specific situation or patient case? contact us Arunoday counseling clinic Indore Madhya Pradesh psychologist psychotherapist marital councellor mental health Therapist