It&#x27;s probably very difficult to evaluate oneself &#x27;objectively&#x27; but that said, if it&#x27;s affecting your life negatively, you may want to get a medical diagnosis. Your sudden paranoid-like behavior could be caused by any one of many different physiological, neurological, or psychological things.<p>Also 40mg of adderall seems like a lot, if you&#x27;re on adderall xr.