&#x27; I take aderall (40mg) daily, slightly more recently&#x27; paranoia is a frequent side effect from amphetamines, which is what adderall is. It&#x27;s very easy to slip on it and you state yourself that you are taking more than your prescribed dose. I&#x27;d recommend getting off this junk as soon as possible, I&#x27;ve watched the side effects first hand. You&#x27;re not crazy (most likely, based on the evidence so far).  If you must take a stimulant, have you talked to your doc about modafinil instead? Please, be aware of the impact a psychostimulant has on your reasoning - it&#x27;s easy to convince yourself it&#x27;s not the problem. I wish you well and also please make sure to sleep properly and don&#x27;t take any late in the day, sleep deprivation leads to paranoia as well.