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What Keeps Paranoia Going?

This clear, accessible information handout helps clients understand the cognitive, emotional, behavioral, and physiological processes that can maintain paranoia, supporting collaborative formulation and evidence-based treatment planning.

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Psychology Tools Resource: What Keeps Paranoia Going?

What Keeps Paranoia Going?

Many people struggle with paranoia. This resource describes some of the things that can keep it going.

Overview

Paranoid thoughts are common and can occur in many people from time to time. However, when they persist and begin to affect a person’s wellbeing, relationships, or daily functioning, they may become a significant clinical concern.

What Keeps Paranoia Going? is an illustrated psychoeducational handout that explains four interconnected processes that can maintain paranoid thoughts:

  • The impact of threat beliefs.
  • The way people notice and interpret information.
  • Worry, sleep problems, and unusual experiences.
  • Unhelpful coping behaviors.

The handout presents these processes in a “vicious flower” format, with each petal representing a separate maintenance cycle. Clinicians can use it to introduce a cognitive behavioral understanding of paranoia, support collaborative discussion, or develop an individualized formulation of a client’s experiences.

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