Hi. Welcome to PC. I am so sorry you're going through a difficult time. I wish I had great feedback, but I struggle with coping with this. However, I try to look out for the early signs, such as anxiety and racing thoughts getting especially bad, and also not sleeping. When I catch it early and go right to my pdoc, I am more likely to get better help, by having my meds increased....even if it's just for a brief period of time, then I'll go back to my maintenance doses.

It's so hard with paranoia, because I need constant reassurance about my delusions, and even then, it's still not enough to convince me that what I am thinking isn't real. That being said, it's better for me to release all of those thoughts by talking about it with a therapist, or if you have anybody you trust. Here at PC helps during those times too. Best wishes. Post whenever you need.