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Paranoia and anxiety are two separate conditions. Sometimes anxiety symptoms accompany paranoia, but only rarely paranoia symptoms accompany anxiety. Both anxiety and paranoia are caused by fear and manifest themselves in excessive worry. However, paranoia and anxiety differ in a few ways. In Paranoia worries are extreme and are often accompanied by other conditions such as delusions. With Anxiety worries are moderate and there are less acute forms of accompanying conditions. I admit I suffer from anxiety and it gets pretty debilitating at times but I'm not paranoid of being followed or anything like that.