Critics have noted of the band: "Dave Gutter's got one of the most versatile, likable rock voices in the game," and likened the sound to "...an artful combination of raw power and delicate melody.
PSC's debut release, Axis II refers to personality disorders, including paranoia.
Axis IV disorders are brought on by direct physical and environmental factors.
When Rustic originally disbanded in 2002, Boisvert joined Gutter and Roods in PSC, but after Rustic Overtones reunited in 2007 McNaboe replaced Boisvert as the drummer for Paranoid Social Club.
During the December 18, 2010 Paranoid Social Club performance at Putnam Den in Saratoga Springs, NY Dave Gutter made an announcement that it would be drummer Tony McNaboe's final show with the band.