After the self recovery of paranoid ideation, people's intelligence level is usually not affected, and their cognitive ability is no different from that of ordinary people. Paranoia is a type of mental disorder characterized by unfounded suspicion of persecution, and its recovery is not directly related to intelligence. The rehabilitation process of paranoid ideation reflects more on an individual's psychological regulation ability or treatment effectiveness, rather than intellectual changes. After patients gradually eliminate delusional symptoms through self-awareness, social support, or professional intervention, their basic cognitive functions such as logical analysis and memory remain at their original level. Some patients may develop stronger emotional recognition abilities due to long-term resistance to illness, but this belongs to the improvement of psychological resilience, which is different from the intelligence dimension in IQ tests. In a very small number of cases, if a patient has suffered brain function damage due to severe symptoms, temporary decline in attention or executive function may occur, but this situation is very rare and often accompanied by other organic problems. Most recovered individuals can fully restore their social function through systematic treatment, and their advanced cognitive activities such as occupational performance and creativity will not fundamentally differ due to their illness experience. Rehabilitation patients with paranoid ideation should pay attention to maintaining regular sleep patterns and social activities, and avoid excessive self suggestion. Regular psychological assessments can help consolidate the effectiveness of treatment, and family members should give equal respect rather than special attention. Participating in creative activities such as painting and writing after rehabilitation can not only shift attention, but also help to objectively recognize one's own abilities.



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