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I have extreme paranoia and I'm shaking really bad and cant sleep what can I do?

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Well all the answers above me are true and legit, but don't take any medication or pills that your doctor didn't recommend because you don't know the side affects it may have on you :)
Also I'm afraid of the dark so I get paranoid when I wake up in total darkness. What I do is either pray, text a friend, or watch tv. Never eat or drink because that'll keep you up and you shouldn't eat before bed anyways lol.
If that doesn't work then see a doctor :)

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I try counting. Or listing to music or try taking a really hot or really cold shower.

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take an anti-anxiety pill (or sleeping pill) and see a doctor. or maybe reverse those.

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Try take some relaxing tea. It calms the nerves down. I had in a way panic attacks and i can't stop shaking after it. So it calms the nerves and makes you knocked after a few hours.

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excersize and that will tier you out

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Happens with me. What i do is divert my attention to something like go for a walk or watch a tv and you do be fine after a while.

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