Paranoid PD — chronic distrust, suspiciousness, and anxious expectation of harm from others. Paranoid PD is characterized by chronic distrust, suspicion, and an anxious expectation of harm from others. A central occupation of the paranoid individual is constructing delusional reasons and assumptions explaining why other people allegedly wish them harm. Jealousy, hypersensitivity to insults, and constant interpretation of others’ actions as attempts to humiliate, deceive, or exploit them are typical.