TRANSTORNO DE PERSONALIDADE PARANÓIDE PRÉ MÓRBIDO NO TRANSTORNO DELIRANTE: UM ESTUDO DE CASO

Abstract

Group A personality disorders are often premorbid or comorbid conditions of Schizophrenia and other psychotic disorders. A greater association of Schizotypical and Paranoid personality disorders with the development of Schizophrenia is observed in the literature. Meanwhile, some studies show an association between a family history of Paranoid and Avoidant Personality Disorders and the development of Delusional Disorder. The present study aims to report a case of premorbid Paranoid Personality Disorder evolving to Delusional Disorder in an male adult patient, with social damage due to both the paranoid personality and the worsening of the delusional condition, despite the maintenance of cognitive functions. In addition, the report proposes the establishment of differential diagnoses with Schizoid and Narcissistic Personality Disorders and with Schizophrenia. This study is based on a database that includes journal articles, case reports, Psychiatry compendium and Diagnostic and Statistic Manual of Mental Disorders.