Hi,
I think it depends on what evidence you have to show it's true, and I think it really does depend on the situation at hand.
For example, if you think someone is following you, and you actually have proof (say, photos of them standing outside your house etc), they'd I'd say it's not paranoia.
However, if you believe all of your friends are talking behind your back because one person said something once, and you've got no actual proof to show that anyone else has ever said anything about you at all, then I'd say it's paranoia.
I think evidence is the key issue here, because when talking about MH issues, it can feel very real but it doesn't mean it is.
I hope that kind of makes sense.
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