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Hello moten34,   I understand that you want clarity about the diagnosis so that you can proceed with confidence in your treatment.   At this point, only a qualified psychiatrist can ggive you a diagnosis and monitor you to see if the medication is working.  The symptoms you describe are not side effects of any antipsychotic, like Abilify, that I know.  The goal is that, in time, you will see relief, hopefully total relief, from your paranoia.  If you feel the drugs aren't working and your psychiatrist has tried the Ability and Lamictal and Luvox for an adequate time, without any relief after a long course of the drugs, your doctor can try a new drug or combination of drugs.  Sometimes it takes trial-and-error to find the right drug or combination of drugs that alleviate the symptoms.   I wouldn't get hung up on a diagnosis, because two different conditions, such as bipolar and schizophrenia, could have identical symptoms, such as psychotic features.  The bottom line is to get symptom relief.  As new symptoms appear or old symptoms change in intensity, a medication change could be in order, and a diagnosis could change over time as well.   Regards, Chrisitna