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'Paranoia Vera': Not a Recognized Clinical Term
“Paranoia vera” is not a valid diagnostic term in DSM-5, ICD-11, or mainstream psychiatric literature.
Related Valid Concepts
- Paranoia: Colloquial term for suspiciousness; clinically, persecutory delusions (fixed false beliefs of harm).
- Delusional disorder, persecutory type: ≥1 month of non-bizarre persecutory delusions without other psychosis.
- Paranoid personality disorder (PPD): Pervasive distrust/suspicion (DSM-5 301.0).
- Paranoid schizophrenia: Prominent delusions/hallucinations with paranoid theme.
- “Vera” (Latin for true) historically used in polycythemia vera (myeloproliferative neoplasm) – no psychiatric correlate.
Clinical Approach
If a patient uses this term, explore: psychotic symptoms, personality traits, medical causes (delirium, dementia, substance), or cultural idioms of distress. Use standardized terminology for documentation and treatment planning.
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