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I'm sure every person's situation is different, but with my mother (who was a paranoid, suspicious person pre-dementia) it has changed over the years. She is now moderate-to-severe dementia and it is definitely less pronounced and less emotionally fueled. We also recently moved her (for the 3rd time in 4 months) and it is definitely much better in the memory-care residence she is now in. It is the most appropriate setting for her and I think that in part is why she is doing better. (And now I hope I have not jinxed everything by putting that in black and white! Ha!)
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My husband had paranoia in the very earliest stage of his Lewy Body Dementia but not in the 9 years since that.

I doubt that there is a "standard" way paranoia presents itself. It varies by individual.
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