To add -in re-reading, it sounds like he had a very specific agenda of symptoms he's looking out for and is being kind of literal in that sense.
So when he asked about sleep, it sounds like all he wants to know is if you're sleeping (not if you're having other issues with sleep). As far as the paranoia, I'd guess he didn't think it rose to the level of clinical 'paranoia.' All kinds of people get jealous, think these things when there's no evidence to bear it out. But again, it's dismissive. He should have asked you questions about it, explored it, rather than coming to that conclusion so easily.
So it sounds like he has a set agenda of symptoms he's looking for and really doesn't care about anything that doesn't fit neatly into it.
One alternative is to tell him that you feel he's being dismissive of your symptoms and that these things are really bothering you, etc. If I were in your place I'm not sure I'd bother, but the alternative is looking for another psychiatrist. I think I would. I think sometimes they tend to not be so great interpersonally, but they're certainly not all so dismissive. Good luck.
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