English Reference

Word

paranoid

Phoneticspara·noid

US/ˈpɛɹəˌnɔɪd/

UK/pˈæɹənˌɔɪd/

Definitions

01suspicious or worried

B2

adj. feeling extremely worried or suspicious that people do not like you or are trying to harm you.

adj. exhibiting excessive or irrational fear, suspicion, or distrust of others. Often used informally to describe general social anxiety or defensiveness.

“He felt paranoid that his coworkers were talking about him behind his back.”

“The celebrity became increasingly paranoid about her privacy, eventually refusing to leave her home without a full security detail.”

Informal

Synonyms

suspiciousdistrustfulanxious

02medical condition

C1 · Medicine

adj. relating to a serious mental illness where someone believes others are out to get them.

adj. relating to or suffering from clinical paranoia, a mental disorder characterised by systematised delusions. Typically used in a technical or diagnostic context.

“The patient showed paranoid symptoms and believed the doctors were spies.”

“The psychiatrist noted that the patient's paranoid delusions were becoming more elaborate and resistant to cognitive intervention.”

Technical

Synonyms

03a suspicious person

C2

n. a person who is always suspicious or thinks others are trying to hurt them.

n. a person suffering from paranoia or exhibiting extreme distrust. Often used as a label for someone perceived as irrationally fearful.

“Don't be such a paranoid; nobody is following you.”

“He was dismissed by his colleagues as a paranoid who saw conspiracies in every minor policy change.”

Informal

Synonyms

alarmist

Real-World Examples

“For others, it made them gently paranoid about whether they were, in fact, awake at all.”
The Guardian · 1 Sept 2026

Etymology

From paranoia + -oid.

Etymology adapted from Wiktionary, available under CC BY-SA 4.0.

This entry

Level
B2 · Upper Intermediate
Frequency
Frequent
Updated

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