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True paranoia is a psychotic symptom. It is found in severe mental illness. Paranoid people feel that others are out to get them without any reason for this feeling. There are three types of paranoid illnesses: paranoid personality disorder, delusional personality disorder, and paranoid schizophrenia. None of these is a curable illness, but most cases can be controlled by medication and therapy so that the person can lead a fairly normal life.

Sometimes, you might hear people use the term paranoia incorrectly or jokingly. As the old saying goes - it's not paranoia if they really are out to get you! Feeling uneasy or mistrustful of someone because you have past bad experiences with them or someone like them is not paranoia; it is experience. True paranoia has no rational reason for the distrust.

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