Paranoid schizophrenia
According to Henry W. Wright
Wright calls paranoid schizophrenia an example of double-mindedness. He discusses rejection and a protective facade as possible background or a defense mechanism.
Possible spiritual roots
Tormenting fear and double-mindedness / instability in thinking.
Wright connects this division with delusions and projected delusions; defense mechanisms and a facade may arise secondarily.
Wright links the profile with excessive release of norepinephrine and dopamine, and possibly serotonin.
Spiritual response
Reject tormenting fear and address double-mindedness; identify false identities and accusation; where a spiritual influence is discerned, Wright includes deliverance ministry.
Sources
Henry W. Wright — A More Excellent Way (2009, English); topic: Paranoid schizophrenia
A More Excellent Way — https://resources.beinhealth.com/products/amew
The 8 Rs to Freedom — https://www.beinhealth.com/8-rs-to-freedom/