I mention this word in the context of post alcohol binges. Within the family (you know who you are!) we often would refer to having ‘’paranoia’’ following a heavy session. For us this meant the jitters and anxiety but not full-blown psychosis and hallucinations. I am not being trivial but the word and feeling did figure largely in my past. Nowadays I would say that my paranoia comes under the irrational and maybe slightly delusional umbrella.
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