Paranoid-like reactions are a phenomenon that is similar to delusions. Its occurrence is mostly related to the patient’s situation, develops through certain psychological mechanisms, and is not as strongly held as delusions: therefore, it is also called psychogenic delusions. Many of these psychological factors that influence mood often develop first as hypervalent perceptions before further developing a paranoid-like response similar to delusions. The so-called hyper-valence perception is a content of thinking with strong emotional overtones, which becomes pre-eminent over other perceptions and remains continuously dominant in his mental life for a considerable period of time, causing bias or error in his judgment of objective situations. Studies have shown that deafness is closely related to paranoia-like reactions, which are more common especially in hard-of-hearing patients, who often have a history of hearing loss for many years and are more likely to be conductively deaf. These patients may suffer from mishearing or hallucinations as a result of sensory deprivation, which can lead to the development of paranoid reactions.