We all feel suspicious of others from time to time. Suspicion is really a vague feeling that something is wrong with out any particular evidence that this can be true. Paranoia has diverse qualities. The word “paranoia” features a Greek origin, meaning “madness.” Paranoia involves severe feelings of anxiety which are driven by delusional thoughts that the individual is being persecuted and is going to be harmed. There are psychotic illnesses in which the main feature is paranoia. However, you’ll find non-psychotic people who suffer from paranoid delusions who aren’t psychotic. This is the case with Paranoid Personality Disorder. The narcissist features a hidden paranoia. His inner globe is dark and dangerous. With all the bravado, grandiosity, extraordinary self entitlement and self confidence, deep inside the narcissist feels a gnawing emptiness combined with paranoia. He lives in fear and dread. The narcissist both creates quite a few actual enemies due to his ruthlessness and complete disregard for others. He also propagates imagined enemies whom he fears will destroy him . “He (the narcissist) functions in an atmosphere of constant siege…he is paranoid, tormented by anticipated attacks of perceived enemies.” You can also also find more on Narcissistic Personality Disorder Treatment.