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It helps to know the difference between paranoia and anxiety. If I am experiencing paranoia, it involves delusions like someone is out to get me (suspicion and distrust) or has betrayed me. I frequently battle the delusion that someone is poisoning my food. My paranoia can cause anxiety, but the two do not have to be present together. My anxiety attacks often have ties to worry (like health concerns, the health of a loved one, public speaking, etc.), but not always. I can have an anxiety attack where I can't identify a triggering cause.
I, like many others, struggle with finding a healthy balance for most things, and finding my self-esteem sweet spot is no exception. As I navigate the highs and lows of self-confidence, I often wonder what level counts as optimal. My outlook on self-esteem was, for a very long time, one-sided. I didn't believe there was such a thing as high self-esteem. Now that I know better, I have been very conscious about my efforts to keep my self-worth at a healthy level. 
Do you have any negative beliefs (those which usually deliver an unwanted outcome)? Have you ever thought about why you believe some things and not others? Did you learn them at school, or are they the result of your experiences? Do your thoughts and ideas create positive or negative outcomes? It's worth taking the time to look at your beliefs, as they make up a fundamental part of your ability to experience happiness and have a powerful influence over your life, and replacing negative beliefs can be beneficial.
Eleven years ago, I got arrested for my first driving under the influence (DUI) charge. Long before that original DUI arrest, I knew I had a problem with alcohol. I knew that blackout drinking a few nights a week was not healthy. But I never spoke up or asked for help because I was terrified of being labeled an alcoholic. Facing the truth meant I would be diagnosed with alcoholism, an incurable, highly stigmatized disease. 
I’ve always been the kind of person that gets anxious about taking mental health days off work. Some of that, I think, is due to the lingering stigma in society that it’s not a valid reason to take a day off, but I’m here to say let’s ditch that. Let’s ditch the guilt of taking a day for our mental health and ditch feeling guilty about how we spend it.
You can change a negative, harmful coping skill into a positive skill. Sometimes negative coping skills seem easier or better, but in the end, they aren't. I know initiating such a positive change can seem impossible sometimes, but you can do it.
The 2022 psychological thriller Alice, Darling, a movie showing emotional and verbal abuse, is another true-to-life scenario familiar to many individuals, unfortunately. This movie depicts a woman involved with an emotionally and verbally abusive partner, but she continuously explains his habits away as normal occurrences. The storyline displays how the verbal abuse dynamic can change an individual's personality and how they navigate everyday life.
I was diagnosed with schizoaffective disorder, bipolar type, in 2002 (after a diagnosis of schizophrenia in 1999). But the anxiety that so often accompanies bipolar disorder and schizoaffective disorder has been with me since early childhood.
When I experience anxiety, one of the main symptoms I have is anticipatory anxiety, which is excessive worry about what will happen in the future. It is this symptom that keeps me up at night when I'm not sleeping well and often results in intrusive thoughts that interrupt my concentration when I'm trying to focus.
I hate the phrase, "live your truth." I really do. Besides being tragically cliched, relegated to Instagram captions and gift shop t-shirts as it is, "live your truth" is generally marketed as a philosophy that will always yield a good outcome: live your truth, and you'll be radiant, prosperous, and probably really great at yoga. Live your truth, and achieve perfect bliss. Rarely have I heard a person or a piece of content urge me to live my truth and insinuate anything but a wonderful result.

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C
I feel I cannot hold on. For the last few years I have been loosing more and more with no recovery. My breakdowns are costing me my family relationships. They just do know what else to do and they are feeling the pain too. We have no help,hope no one I just kept hoping I do not inhale another breath help
Elizabeth Caudy
Hi Jaime Lee, Thank you for your comment. What you're describing could be signs of a mental illness, but without knowing more about you, it's impossible to say which one, if any. If what you're describing is causing you distress (which it sounds like it is) or if you think you might have a mental illness, you should talk to a medical professional. If schizophrenia is a possibility, you will likely need a referral to a psychiatrist. When you see someone, make sure to be as open as you can about what you're experiencing. I know it can be scary having these thoughts, but you're not alone, and seeing a psychiatrist can help you figure out what's going on and how to get better.
Jaime Lee Casiano
Hi I'm Jaime Lee Casiano I think that I might have schizophrenia. I don't hallucinate though I can be very delusional sometimes believing things are going on that know one else sees thy could be true they could be false I know that but I feel like I have to simi believe them in order to protect myself. Im overall a very paranoid person It's like I wana know everything that's going on around me so I try to read people in evry possible way you could read someone. I try to find the side of them they don't want anyone else knowing about. My mind is always racing thinking about different scenarios. It's Also hard for me to communicate properly with people or form relationships though I wana be social there for I die inside.


Dawn Gressard
Hello Andrea!
You are absolutely correct when you said, "They're still going to act like people." People are people who will act in ways we wish they wouldn't -- even the ones closest to us. That statement can be a large pill to swallow, yet it is one that we need to get down if we want to sustain our mental health. I have a specific page in my journal that lists things I can control and can't. I often look at it to remind myself that I can't control other people's actions, choices, or feelings.
Douglas Howe
Trauma for 34 years