How do you tell the difference from paranoia and a real threat ? Right now I am having thoughts that my husband is drugging me in order to get me to have sex. I think that he's using some kind of gas while Im alseep to keep me from waking up. When I really think about it it seems far fetched and rediculus but in the mornings Im waking up with vague almost memories. We've been married 20 years and I tell myself he wouldnt do something like that..but would he ? I told my pdoc and he says Im just being paranoid and maybe we need to up my paxil from 60mg to 80 mg and increase my ativan from 3 times a day to 4. He also wants me to tell my fears to my husband which I dont want to do becaue if he's not doing this to me and I accuse him he'll get upset and be hurt. If he is doing soemthing to me he'll just lie about it so I see no gain in telling him anything about it. But I am nervous to sleep in the bed with him. I don't quite know what to do. has anybody else had anything similar ?