Been asking this question a lot lately, so how do I know what is real from what's not? I'm still at the early stages so I do have times when the delusions, paranoia and voices don't bother me so much. It's hard to tell yourself your thoughts and experiences aren't real because they feel really real and no matter what people tell you, you believe it's real, that's why it's a delusion. Half the time I don't even know whether the voices I hear are really there or whether I'm imagining them because I have no idea where they come from. On the days that I think a little clearer, I try to differentiate what's real from what's not real, but sometimes I really never can tell. So now I just tell myself that most of it isn't real and I should try to ignore it as much as I can.