I can't tell the difference between reality and my imagination anymore. I feel like everyone is conspiring against me. I look for a meaning behind everything in my life. How do I stop this vicious cycle?

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Are you taking stimulants? I’ve seen firsthand how they can cause people to think the way you are. In this particular case it was Adderall. If you’re on any at all, do yourself a favor and taper down the dose.