Problem:
George is a 55-year-old male who has been struggling with paranoia. He has a history of mistrust and suspicion, often believing that others are plotting against him or trying to harm him in some way. This paranoia has started affecting his personal and professional life. He has become increasingly isolated, avoiding social interactions, and distancing himself from friends and family. George's work performance has also declined as he suspects his colleagues of trying to undermine him. He has difficulty sleeping due to constant worry and fear. Despite his challenges, George is aware that his thoughts might not be entirely grounded. He has taken the step to seek help and has been attending therapy sessions for a few weeks. His family is supportive but struggles to understand the extent of his paranoia.