### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi, I am curious on whether weathering not I have paranoia or something more serious, so Im going to explain to you what I have been going through for the past year. I am constantly thinking someone is watching me. I have trouble getting out of my shower because I believe that people can float out of their bodies and watch me. Also when I sit on the bus I am always having to change what Im thinking about because I believe people can read my mind. And most times when Im alone I will act as if a real life person is there with me, I talk to them and interact, I cant see them by I imagine they are there. I always think that if I do something embarrassing people will find out. And I always think people are looking at me judging me. I cant go into stores with my mom often because Im scared people will judge me. Even when Im in the car I cant help but think people are trying to take me. Its affecting me because now all I wear is big bulky sweat shirts and baggy shorts because I think Im fat and not attractive. I even had a hard time giving you my email because  I think this is something fake or that it will hook up with my Facebook and every one will see the question I asked. Sorry it was so long.

### output:

Hi, Feeling all the time that someone is watching you, or feeling that people are following you or that they can read your mind are all features of a referential thinking process. They are seen in psychotic illnesses, but given the insight you have in your problem, I do not think you have one. So if it's not psychosis, then what it is? It can be seen in social phobias, but as you have mentioned in the last few lines about feeling fat and not attractive, is this what is actually bothering you? It is common amongst adolescents and young adults to find such disturbances of body image, and they do cause a lot of trouble to the sufferer. Please visit a psychiatrist and discuss the matter with him/her in detail. There are ways to tackle such dysfunctional mental schema like cognitive behavior therapy, in which the professional works towards re-framing the thought process for good. Please do not hesitate in seeking help. Hope this helps Chat Doctor. 