I had a couple of TIAs. After 30 years my left arm still has a numb feeling to it, but everything is still working perfectly and as fast as it ever did.

There are some choices in this world- and especially in the western world; most of us have a choice of having food- even healthy food. Also the choice of whether we will sit on our fat asses, or 'golly', get down to the gym and sweat a little. To go into the "all-ya-can-eat" restaurant---- or eat a delicious fresh apple. To be slim, and like yourself, or to be a gross, obscene slob- who is so weak and feeble that he/she can't even get across the parking lot to the hog fattening place.---- Of course a person can take all the pills; they also add to the problem- or do something that leads to a healthy life.

i'm on BP & blood thinner meds b/c of my A fib.
as much as i despise greedy big pharma i'm on eliquis (blood thinner) which is ridiculously expensive. fortunately my insurance pays 75%.
but, i too have a fear of strokes. i was just taking aspirin until i went into an episode that has lasted for months. the docs pretty well scared me into taking the eliquis.
i think that if you're on a blood thinner & careful diet your prognosis should be good.

Paranoia is not the natural consequence of stoke, but of any serous disease. If you take the doctors advice there is no reason at all why you should ever have another stroke.

Agreed with below... but also, I suggest considering adding a therapist/counselor to your recovery regimen. New norms can require unexpected adjustments in mentality, and that can cause alot of mental upset which cam come in many different varieties. Hang in there, and yes, please keep us updated!

So sorry you are having this experience. I haven't had a CVA but have treated many people who have and TIAs too. My experience is there is very little in the way of norm. Lots of people start to have unusual experiences during recovery. I imagine that paranoia is a perfectly reasonable response to developing a new way of being you. Work with your healthcare providers and make sure you have lots of social support around you. Let us know how you get on.