I also have been diagnosed bipolar with psychotic features. I can say that after being prescribed Risperdal, I stopped believing I was being monitored by the same type of shadow/CIA type operation that I was before. I want to mention that I once looked up my symptoms on the internet and believed I had become schizophrenic but this is actually part of bipolar disorder.

There is hope that the fears can stop. At least you are aware enough to post descriptions of what you know isn't true - that you aren't actually being followed. And other thoughts you describe about hurting yourself do sound obsessive, but that doesn't necessarily mean you have OCD. It could be that stress induces these feelings in you.

I hope you find an antipsychotic that works for you soon and something that keeps you stable. I also take Tegretol to control my moods. Maybe that is something you could try, also I used to have success with Lamictal.

Good luck in your battling these symptoms you describe.