I do have this type of thinking, and it varies in intensity. In my case, I can’t tell if it is part of bipolar or if I might have borderline personality disorder.

I have read it is hard to tell the difference. My pdoc doesn’t think I have borderline, because I don’t self harm, but I relate so well to it.

Anyway, it’s paranoid ideation, not delusional paranoia.

It ebbs and flows with intensity.

I can give so many examples of my suspicions about people doing something panning out. People do look like such users to me. Sometimes they look incredibly wonderful at first, and something happens and the next thing you know, I think they’re scum. Sometimes I feel like I don’t have the energy to keep up the fight with the world. Sometimes I feel victorious.

Black and white thinking, perfectionist thinking...I have heard from a previous T that I have this. It could be part of it as well.

I’ve never talked about this (paranoid ideation) with a T. I’ll have to do that.

Sorry, I just went off talking about myself...I don’t know if any of this is helpful.