I had full blown paranoid delusions. To the point I was so convinced everyone in my life were competing in some sort of competition to get me to kill myself that I attempted suicide and left a note allocating points to those I thought most contributed to my death. (So they wouldn't have to argue over who deserved the prize.)

I couldn't have posters on my wall or look at photos in news papers because I was convinced the people in them were watching me.

There was also a period where I thought maybe I was on a T.V. show like in The Truman Show or that I was some cruel science experiment but neither of those were as fleshed out as the suicide competition.

They actually resulted in an argument with my pdoc because they weren't things I told him when I'd seen him previously so when I finally gathered the courage to tell him he insisted that there had to have been a trigger no matter what I said about having these feelings for years. Eventually I had to give him some BS story about something that had happened months before hand and that I felt hadn't really had much effect.

Dissociation wise sometimes I get feelings like I am not real but for the most part it's never been a serious issue. It's kind of like I'm floating on a cloud watching everything rather than a participating party. Everything seems dull and cardboard like but I continue doing what I'm supposed to because I don't know what else to do. lol