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I have experienced paranoia like this before. I have thought i had heard something and it has sent me into paranoia panic attacks and having to do certain things (check doors are locked, do a sweep of house, get a knife, hide) in order to feel safer. This happens when I’m alone but the triggers are real and I make up a scenario in my head. For example I woke up to a banging noise one night while i was alone. It could have been a dream or something falling off a shelf. I still don’t know what it was. I felt the urge to call out, go sweep the house like a swat team with a kitchen knife, and call my friend for reassurance . I told myself that someone had broken in and was going to **** and **** me. Turned out to be nothing and i was fine but the panic attack felt very real. I also get this and definitely think I’m hearing things when I smoke cannabis. My hearing feels like it becomes more acute and i freak out at normal sounds or things i think i hear. End of the day, if you feel like you are experiencing auditory hallucinations please see a medical professional.

I think this is ocd with poor or delusional insight. I had this when my ocd was at its worst. Most people have good insight, meaning they know their obsessions and compulsions are irrational, but they’re still scared. With poor, or even delusional insight, one is either pretty sure or completely convinced that their obsessions are true.