How mild can paranoia be? what are ways it can affect a bipolar disorder?

A sign of psychosis: Paranoia can occur as part of psychosis in either depressive phase or manic phase of bipolar disorder. It usually starts as mild but usually increases as disease progresses. Please talk to your psychiatrist asap and seek treatment.

Varied: Paranoid can be as mild as a belief that people are not trustworthy. Psychosis will complicate 40% of manic episodes in bipolar disorder. Up to 20% of major depressive episodes.