An individual diagnosed with paranoid personality disorder who displays psychosis is:
a. not correctly diagnosed and should be rediagnosed as having paranoid schizophrenia
b. demonstrating psychiatric complications of inappropriate psychiatric treatment
c. probably undergoing a period of pronounced physical or psychosocial stress
d. developing an irreversible psychotic illness on top of the preexisting personality disorder
C
Pronounced physical or psychosocial stress may lead to an individual with paranoid personality disorder displaying symptoms of psychosis. Such stresses, the likes of which the client may never have experienced before, may overwhelm him or her. These stresses may exacerbate the paranoid personality disorder to such a level of severity that the person may experience some brief psychosis as a means of the mind to explain what is happening to the client. In many cases, once the true source of the physical or psychosocial stress is explained to the client, the psychotic symptoms diminish or disappear.
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