Hello guys, At the minute I am suffering from a lot of paranoia, but I am struggling to identify the source. Usually for me there are 2 causes, anxiety or psychosis but it doesn't really feel like either at the moment. I've been doing a lot of work on my negative automatic thoughts in therapy, and I have discovered that I do have some obsessive and paranoid thoughts that are linked to anxiety but usually these are quite easy to identify for me because if I am paranoid due to anxiety I will have the physical symptoms of anxiety as well like the shaking, feeling sick, palpitations etc. But I am not experiencing any of that at the minute. But if I am paranoid due to psychosis I normally have very persecutory beliefs like I am constantly being watched, government/police are plotting to kill me and I will have other symptoms such as hearing voices and seeing things. But again I'm not really experiencing that either. My mood seems to be very unpredictable at the moment. I have been under and immense amount of stress so I am aware of possible triggers. At the moment I feel very apathetic, but more hyperactive than usual at times and I can get more irritated and agitated than usual. I just feel like people are plotting to bring me down and I am not feeling comfortable anywhere, like I am waiting for people to trip me up and I am waiting to just lose everything. I have shut myself off a lot recently from people, so I feel very isolated and lonely. I am aware that the more isolated I become, the more paranoid I am likely to be. It is such a vicious cycle to break. But I am not sure what the cause of it. If it's anxiety I can deal with it through talking to people and my therapists, but if it's psychosis then it means my medication is not working as it should be.