Thats not unusual for here, doctors want to encourage patients to use coping skills instead of medication. But that is enough medication for the times it gets too bad for coping skills. I never have a problem getting benzos, but I only take them when it is desperate (ie I am a danger to myself or I am going to have a panic attack) I do not take them for run of the mill anxiety (which can be pretty bad but meds are to be a last resort not a first).

Back to paranoia, I only get truly paranoid when I am on the way up. Do you think this might be the case?

Mild paranoia at other times is caused by my thoughts and I can treat them with CBT.