When I get paranoid, I try to do reality checks. I try to focus on what's real because when I'm paranoid I'm also delusional. I also try to distract myself by watching tv or surfing the net. But the best panacea is talking to someone and just hearing their voice. I usually only have these paranoid episodes when there is lack of sleep. I'm sorry that you're in pain and that the percoset is exacerbating your symptoms.