 232 PARANOIA CLIENT PRESENTATION 1. Fixed Persecutory Delusions (1) * A. The client described a pattern of fixed persecutory delusions regarding others, their intentions, and possible harm. B. The client described beliefs that others are persecuting him/her or intend to do him/her harm, but was unable to identify these as delusions. C. As treatment has progressed, the client reports a decrease in persecutory thoughts. D. The client reported that he/she now understands that his/her former persecutory beliefs were due to his/her mental illness. 2. Extreme Distrust (2) A. The client described a pattern of consistent distrust of others generally. B. The client described an extreme distrust of a significant other in his/her life without sufficient basis. C. The client's level of distrust toward others has diminished. D. The client verbalized trust in the significant other that he/she had previously held in extreme distrust. E. The client displayed normal levels of trust toward others. 3. Expectation of Harm by Others (3) A. The client described an expectation of being exploited or harmed by others. B. The client displayed an animated fear of being exploited or harmed by others. C. The client's fear of being harmed by others has diminished. D. The client no longer holds to an irrational belief that he/she is being plotted against by others. 4. Misinterpretation of Benign Events (4) A. The client demonstrated a pattern of misinterpretation of benign events as having threatening personal significance. B. The client is beginning to accept a more reality-based interpretation of benign events as nonthreatening. C. The client no longer demonstrates a pattern of misinterpretation of benign events and has verbalized not feeling personally threatened. 5. Audito ry/Visual Hallucinations (5) A. The client has experienced auditory hallucinations suggesting harm, threats to safety, or disloyalty. * The numbers in parentheses correlate to the number of the Behavioral Definiti on statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 