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At 18 you can definitely request that your Dr appointments be private from your Mom. Rather than starting off with a psychiatrist, maybe you should consider a therapist instead. If after working with the therapist for a while, he or she might refer you to a psychiatrist if meds are in order. A Therapist can also help you develop coping mechanisms to help keep your anxiety building to the paranoia level.
You mention that a DR put you on what you think might be Zoloft. Did the paranoia start after that or before it? Maybe your dosage needs to be adjusted? Can you go see that DR?
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"Do you know what’s really scary? You want to forget something. Totally wipe it off your mind. But you never can. It can’t go away, you see. And… and it follows you around like a ghost."
~ A Tale of Two Sisters (Janghwa, Hongryeon) (2003)
"I feel like an outsider, and I always will feel like one. I’ve always felt that I wasn’t a member of any particular group."
~ Anne Rice
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