So, I am autistic, I dont really have friends except online, and i have a few other diagnoses like suspicion of schizophrenia and suspicion of psychosis. And, about once a year, I start walking down a hallway of insanity, ending in a big multiple day long paranoid attack- where I just lash our at someone and try to ruin their life because of some really insignificant thing. Last time I lashed out at someone because I misunderstood something, and I went down a paranoid spiral where I would try to ruin their life because I thought they wanted to ruin mine.

The time before I lashed out at someone and said that they were conspiring against me.

So, is there any way to prevent this? At least My therapist says I’m ok to go after the next few sessions. Also, I don’t want medication or go to a clinic.