People with paranoid schizophrenia may seem relatively normal. People with other types of schizophrenia may act in a disorganized or confused manner, but people with paranoid schizophrenia do not always do this. Instead, the symptoms of paranoid schizophrenia are primarily positive symptoms, or symptoms that consist of a person imagining something that is not there. Some of the most common symptoms of paranoid schizophrenia include hallucinations (most commonly hearing voices or other sounds that aren't there), and delusions (often thinking irrationally that people are out to harm them). Because of these positive symptoms, people with paranoid schizophrenia may behave oddly or have emotional problems. Individuals may talk to people or voices that are not there. They might also become frustrated or angry because others do not understand reality as they are experiencing it, and this may lead to violent behavior toward themselves or others.
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