Hello Adam's mom,   I know what works for me and some other people is keeping a journal to record our feelings and moods as well as the events of our life.  The Connection has a Health Central sister site, AnxietyConnection, that I found helpful in piecing together what happens and how to control it.  Anxiety is often an automatic response.  Sometimes I worry what will happen if I'm in a certain situation, and I automatically go on alert that it could happen again.   I don't recommend taking Xanax or Ativan or any of the other addictive drugs to control anxiety and only in the case of extreme panic attacks they might be warranted.   At this point, I'm going to recommend cognitive therapy specific for people with SZ who have troublesome thoughts or automatic thoughts or responses.  I'm considering a round of CT sessions in July and will talk to my psychiatrist on Friday to see his opinion of this option.  I will call the director of the private practice to schedule an intake in two weeks and will be writing about this kind of therapy in a SharePost or two come August.   Because I find what works the best for me is creating a "thought blockage" as soon as the paranoia comes on, and because that sometimes doesn't work, I will pursue cognitive therapy if I'm able.  With a thought blockage, you shift your thought from one thing to another.  It can be as simple as telling yourself "Stop!"  Although what works best for me is to reality test and keep reminding myself that what I think is happening really isn't happening and that I can choose to have another perception of what's going on.   My trouble comes on mostly in restaurants and on the subway, and is on and off and hasn't happened in two weeks or so, so I've been free of it for now though I know it will return, as it always does.  So the CT is an option I'm considering.   Regards, Christina