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Irrational paranoid urges might be signs of mental health issues. Does your family have any history of paranoid schizophrenia? Onset tends to happen to men in their late 20s/early 30s, but everyone is different.
Not sure what the irrational or paranoid bit of this is about
No one gets put on a watchlist for talking about drugs with their pals in a bar.
The fear that some "other" will somehow overhear, have the power to add you to this list, actually do so, and that even such a "talked about drugs" watchlist exists that can upset your life, is the irrational and paranoid bit.
Yeah, nobody's out to get us. Surely we all want to make America great again, so nothing to worry about.