R46: Symptoms and signs involving appearance and behaviour

R46.5: Suspiciousness and marked evasiveness

Suspiciousness and marked evasiveness is a psychological condition where an individual exhibits an extreme level of distrust and avoidance in their social interactions. Those experiencing this condition often perceive actions and intents of others as offensive, deceptive or threatening, even if there's lack of evidence to support such conclusions. These unwarranted, exaggerated suspicions can span across various circumstances and relationships, possibly leading to social isolation. Additionally, marked evasiveness signifies a distinct avoidance behavior where individuals intentionally keep themselves distant or hidden from certain situations or persons to reduce perceived threats. This condition does not typically manifest as paranoia or delusion, but rather as a state of mind characterized by continuous wariness and extreme discretion.