Even if it happens continually no matter what state you are in there should still be room for doubt! For example, regardless what state I am in, even baseline, I occasionally think God is trying to send me messages through the music on the radio while I am driving. Granted, at baseline I can usually see this for what it really is, my imagination. So I would still be careful. As someone already stated, if in between states, it could be schizoaffective or even OCD! We can get co-occurring disorders too. Just my 2 cents