An unrealistic distrust of others or a feeling of being persecuted. Extreme degrees may be a sign of mental illness.

When to seek immediate medical care

Seek emergency help if:

  • Thinking of harming self or others
  • Planning on harming self or others

When to make a doctor's appointment

Make an appointment to see a doctor if:

  • Interferes with relationships
  • Not able to complete daily tasks

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