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Anxiety and paranoia can come with a lack of sleep, same with hallucinations, but hallucinations typically come after being up for days (like 4-5)!Try out some stress relieving teas like chamomile and kava tea before bed along with sleep meds. 

Dunno if you have schizophrenia, as I haven't experienced stuff like this but I get the paranoia and anxiety stuff. You could also have a scheduled time in the day to worry, which I heard helps people. Journaling and meditation helps me with that so I'm not as stuck in my head. Wish you well bud!

hi i have paranoid delusions often (for a year straight i was extremely afraid of being gangstalked) and ive been medicated for a few years for a couple things, i dont think youre a manipulative attention seeker i think you just have a really active brain and whatever underlying issues you might have accentuate that