It counts. I just went through this; I've had it before but this time it somehow got a lot more attention and it was a voice in my head screaming at me all the time about how stupid I was and about every time I have ever messed up anything in all my life. I think it got more attention because it was so mean to me and so hard to deal with; I started being just as nasty to myself and had a really hard time knowing what was realistic and what was not. An increase in the AP got rid of that but other psychotic symptoms persisted until the 2nd AP was started 2 months later. I'm still not positive I'm completely done with parnaoia because I've not been out of the house a lot but I'm hoping so. More meds tomorrow either way though.