Helping Someone Who Is Having Paranoid Thoughts

Overview

When someone you care about is having paranoid thoughts, it can be hard to know what to do. You might want to help but not be sure how to respond. And while every person's needs will be different, these tips can help.

• Learn about paranoia. Supporting a loved one with paranoia takes patience, empathy, and an understanding of what they're going through. It can also help you feel more confident.
• Acknowledge the person's feelings. Avoid arguing or dismissing their fears. Validate their feelings without confirming or denying their beliefs. This may sound like, "It sounds like you're really scared right now."
• Talk calmly and mindfully. Speak clearly and use short, simple sentences. Avoid asking too many questions or offering too many suggestions.
• Listen. Encourage the person to share what they are experiencing. Try asking open-ended questions like, "Can you tell me what you're feeling right now?" If they're not ready to share, be patient.
• Help the person feel safe. Reassure them that they are not alone. Try redirecting their focus to things that bring them comfort. Or try relaxation exercises like guided imagery or deep breathing.
• Consider the basis of the person's fear. Even if you don't think their fear or belief is justified, reflect on whether their worries stem from real experiences. Or maybe their fears come from something in their immediate environment.
• Encourage professional support when the time is right. Suggest talking with a mental health professional. Or offer help with finding resources or attending appointments.
• Take care of yourself. Seek support from loved ones or therapy. Self-care activities can also help.

Where to get help 24 hours a day, 7 days a week

If you or someone you know talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away. You can:

• Call the Suicide and Crisis Lifeline at 988.
• Text HOME to 741741 to access the Crisis Text Line.

Consider saving these numbers in your phone.

Go to 988lifeline.org for more information or to chat online.