Dealing with delusions and paranoia is something I still struggle with. I haven't been diagnosed all too long but I've learned that some things are here to stay. You do get better at coping with symptoms but they won't disappear.
Medications play a big part in how you're able to cope with symptoms, as crappy as that may be. Then it comes down to how you think and what your thought processes are like. I know that it's easy for me to get caught up in negative thought loops so I do my best to not get them started.
It's a vicious cycle and it takes a while to get a real grip on things but it does get better if you work at it. It would be nice if we could just take a normal pill but learning how to cope is a huge part of bipolar disorder. I hope I could offer a little bit of insight and I really do feel for you on the paranoia/delusions part. These kinds of symptoms are some of the hardest to deal with in my opinion.
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Climbing out of a hole
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