Looking back, my friend has had some paranoid instances in the past, going back decades, usually on alcohol and drugs. So we feel like maybe it was always there

Looking back, my friend has had some paranoid instances in the past, going back decades, usually on alcohol and drugs. So we feel like maybe it was always there, and it's possible menopause really brought it out, or stopped holding it back. The problem is she never reconciled any of those episodes that it was her being overly paranoid. She just wrote those people out of her life and moved on. Which is what she's trying to do now to literally everyone in her life, and it's never occurring to her that the problem might be her. She thinks she's in a giant Truman Show and all her friends and family are punking her.