People with paranoid feelings have a constant suspicion, without justification, others around them have sinister motives and cannot be trusted. They tend to have too much trust in their own knowledge and abilities.

Suffering from paranoid feelings, they almost always try to avoid close and friendly relationships with others. They are usually reluctant to talk about their secrets with others because of an unwarranted fear the secrets they tell others about themselves will be quickly used against them. They search for every hidden meaning in others' words and actions, reading hostile intentions into them. People with paranoia are quick to challenge the loyalties of family and friends, appearing distant and cold to them, and taking blame out on them. Grudges are carried for a long time.

With paranoid feelings, people suspect everyone around is exploiting, setting out to harm them, or lying to them. When others talk to them, they imagine they are putting them down, and keeping secrets from them. They assume all the supposed attacks on their reputation or character are intentional, and they become very abusive to others, quick to act very angry or even counterattack.