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They can come with bipolar but are generally related to a mood episode like mania. Delusions/paranoia unrelated to a mood change could be a different condition. Psychosis can be a part of a lot of things so it's really bet to see a pdoc if you have concerns. They also have to rule out physical conditions.
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Of course it is happening inside your head. But why on earth should that mean that it is not real?
-Albus Dumbledore
That’s life. If nothing else, that is life. It’s real. Sometimes it
f—-ing hurts. But it’s sort of all we have.
-Garden State
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