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If you have paranoia, and typical antidepressants dont work, chances are an atypical antipsychotic would be beneficial. Antipsychotics are often used for anxiety and much of what you describe. Abilify would be the best one as it has the least side effects and it more of a dopamine and serotonin system stabilizer than an actual antipsychotic like haldol. It wont impair cognition either.

Dont be afraid of the stigma of antipsychotics it could REALLY help you. I am very similair to you and take abilify and it is WONDERFUL and i was so against anti psychotics for so long.
 
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