Right now I'm struggling with some paranoia. My mind is causing me to recognize strangers and be unable to tell who I really know and who I don't know. So I will often recognize strangers and wonder why they aren't acknowledging me. As a result I think there must be some kind of conspiracy to ignore me and monitor me.

I still have some insight and can tell this sounds a bit crazy, but I can't help the visual misperceptions. It's so hard to ignore them.