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Answer Wiki. Anxiety, depression and paranoia go hand in hand. Depression and a negative outlook might cause anxiety, and that anxiety could cause paranoia, resulting in a cycle of self-deception, increasing intensity of fears and causing a lack of positive or any emotions.
She listened to me and said she thought I had gotten into a vicious circle of anxiety with it. : I need to go out -> causes anxiety -> creates vertigo -> heightens anxiety. And so on. I have to say it makes sense, and my bipolar makes me prone to anxiety anyway.