Texas LMSW License Practice Exam

Pervasive distrust of others is the hallmark feature of paranoid personality disorder. People with this pattern routinely interpret others’ motives as malicious, even without solid evidence, and they expect others to harm, deceive, or exploit them. This distrust is stable and widespread, affecting relationships, work, and everyday interactions, and it often leads to guarded, suspicious, and vindictive behavior, with a tendency to read hidden threats into ordinary remarks or events. The other options describe different patterns. A schizoid pattern centers on social detachment and limited emotional expression rather than a general mistrust of people. A schizotypal pattern includes odd beliefs or eccentric behavior, but not specifically a pervasive, generalized distrust of others as the defining feature. A narcissistic pattern focuses on grandiosity, a need for admiration, and a lack of empathy, not a pervasive suspicion of others.