<s>[INST] I get paranoid and after my first car wreck i think it got worse and when people tell me things at my work that something is going on i think im going to get in trouble or if i see a cop or when a helicopter flys over my house or if some one knocks on my door i think im going to be in trouble for every little think i do and what can help me that can change this i try not to think about i did something wrong what can i do to keep to keep me from being to paranoid and i think i might have anxiety or paranoia im not sure if you can help me out thank you [/INST] Hello You have intense anxiety after car accident. You have symptoms like fear on seeing a cop, or when some helicopter flies over house or when someone knocks on door. You are not able to control that anxiety and fear. Most likely these are the symptoms of anxiety. Other possibility is PTSD or post-traumatic stress disorder. After severe accident some individuals develop fear and anxiety associated with nightmares and hyperarousal. I would advise you to visit a Psychiatrist for expert treatment. Medicines like Fluoxetine, Escitalopram, Sertraline etc. are used in anxiety. These medicines help in depressive symptoms also. You can also try non-pharmacological treatment as relaxation exercise, yoga, meditation, behavior therapy etc. Thanks </s>