This report provides a comprehensive overview of paranoid schizophrenia, a mental health disorder characterized by delusions and paranoia. It begins with an explanation of the condition, differentiating it from general schizophrenia, and explores the specific symptoms and signs associated with it, including delusions of control, grandeur, persecution, and reference, as well as hallucinations, disorganized thinking, and emotional disturbances. The report then delves into the pathophysiology of the disorder, discussing potential causes such as genetic factors, neurotransmitter imbalances, stressful experiences, and drug use. It details the diagnostic methods, including the use of CT scans, MRIs, and EEGs. Furthermore, the report outlines pharmacological and non-pharmacological treatment approaches, including antipsychotic medications, individual therapy, social skills training, family therapy, and vocational rehabilitation. It also examines the role of nursing management within a multidisciplinary team, highlighting nursing interventions and rationales. Finally, the report discusses expected treatment outcomes, such as the reduction of delusional thoughts, improved environmental perception, and enhanced social interaction.