Apparently even high doses of anti-psychotics can cause psychosis in a baffling conundrum....Someone (don't remember which dr or both) thought my paranoia might be related to my Seroquel dose (which while super high was NOT much higher than my usual dose where I've never been that psychotic in an episode) and it did seem to improve when the Seroquel level came down. So your Abilify (which is activating and therefore it would make sense for it to be even more so) could be a problem too.