Paranoia is usually not completely self-healing, but symptoms can be alleviated through psychological regulation, social support, medication assistance, and other means. Paranoia is a mental disorder, and patients often believe without reason that they have been persecuted, requiring a combination of professional treatment and self-management.

1. Psychological regulation
Cognitive behavioral therapy is an effective means of improving paranoid ideation. Patients can gradually correct their erroneous cognition by recording unreasonable thoughts and analyzing their logical loopholes. Mindfulness training can help reduce delusions caused by anxiety, and daily practice of breathing meditation or body scanning can enhance awareness of reality. Avoid overinterpreting others' words and actions, and try to replace subjective speculation with objective evidence when doubts arise.
2. Social support
Establishing stable trust relationships is crucial, and choosing 1-2 relatives and friends to regularly confide in can reduce feelings of isolation. Participating in group psychological counseling can verify the unreality of one's own delusions through the experiences of others, but it is necessary to avoid joining communities with paranoid tendencies. Maintaining moderate social activities, such as community volunteering, can help rebuild a sense of interpersonal security.
3. Medication assistance
Antipsychotic drugs such as risperidone and olanzapine can regulate dopamine function, reduce the severity of delusions, and the dosage should be strictly adjusted according to medical advice. Some patients supplemented with antidepressants such as sertraline can improve the accompanying anxiety and depression. During medication, regular check ups of liver function and metabolic indicators are required, and medication dosage should not be increased or decreased on one's own.

4. Environmental adjustment
reduces exposure to provocative information such as violence and conspiracy theories, and avoids reinforcing associations with victims. Maintaining a regular schedule and sufficient sleep can worsen delusional symptoms due to sleep deprivation. A home environment can increase bright light and open space design, while a closed and dim environment may induce a sense of unease.
5. Crisis Intervention
When self injury or aggressive tendencies occur, immediate medical attention should be sought, and short-term hospitalization may be required during acute attacks. Develop an emergency plan in advance with the doctor, such as contacting designated family members to accompany the patient in case of symptoms becoming uncontrollable. Keep the psychological assistance hotline number for easy access to professional support in emergency situations. Patients with paranoid ideation should establish a long-term rehabilitation plan and engage in moderate aerobic exercise such as brisk walking and swimming daily to promote endorphin secretion and improve mood. Pay attention to supplementing deep-sea fish, nuts and other foods rich in omega-3 fatty acids in diet, and avoid excessive intake of caffeine and alcohol. It is recommended that family members learn non critical communication skills, guide patients to distinguish between reality and delusions with a calm attitude, and regularly accompany follow-up visits to evaluate treatment effectiveness. After symptom relief, it is still necessary to maintain a consolidation period of 1-2 years and gradually reduce psychological dependence on medication.

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