Yes I struggle with paranoia quite a lot. For me I start thinking that everybody knows I'm bipolar and they think I'm crazy. Also sometimes my thoughts become really scattered and I start making connections about things. Like I was abused in this organization and I'll start seeing connections in everyday things that have nothing to do with this organization. I even asked my case manager if she was in it the other day. Sometimes it's so bad I won't leave the house for weeks.
What has helped me is grounding techniques and risperdal. I just started risperdal again. Risperdal helps tremendously, the down side is weight gain.
Hope I helped some.