I am afraid the issues center on the two words - paranoia and delusional. You need to determine where these diagnoses have come from. Unless the CAA's psychiatrist has 'made them up' they most likely have come from your original notes and therefore the psychiatrist you were under at the time. You might be advised to discuss this with your original psychiatrist to see if he is willing to review and amend his opinion at that time in the light of your subsequent progress.