1- It is not a foolish question, it is an important one. If it is important for you, it doesn’t matter if it’s foolish for someone else because it is your question.
2- I have anxiety as well, it doesn’t escalate to paranoia but I’ve had instances where I got so nauseous I could hardly stand or breathe.
3- So this is what I’d like to say. Our experiences are different, but I will say what helps me.
I’d first start by recognising where you feel your intution. This can be a little hard. My intuition is in my gut, my anxiety is in my heart. Recognising where I’m feeling is the first step. If it’s in my gut, I’ll do a reading and ask my guides what’s up. If it’s anxiety, I’d first let it pass.
If you feel like sitting, sit. Crying? Cry. Anything you feel that does not injure you, do it. Allow it to pass. After the peak is reached practice mindfulness. The texture of your couch, or the temperature of the floor. Ground yourself in reality.
When you feel a little better, look for triggers.
If something triggered your anxiety, it is anxiety. If nothing was there that would usually trigger you, I’d suggest looking if it’s a new trigger or first reflect why it might’ve happened, then I’d do some divination if nothing mundane comes up.
I am not a therapist or a psychiatrist. So please take this comment as it is and not as professional advise.