I guess I am a fairly mistrustful person: OK so that is Virgo, but also I have Pluto square ascendant which probably exacerbates it!
moon/pluto, moon/scorpio, 8th house moon... difficult aspects to planets in virgo or scorpio.
-- from my own experience of having an 8th house moon, and lots of stressed up virgo planets.
I should think that hard Saturn-Neptune aspects probably incline to paranoia.
I clicked over to see if anyone said, "why? why do you want to know?"
Moon-Neptune or Mercury-Neptune.
If you have this in a t-square, you're probably in the Witness Protection Program by now.
I came to ask..why you want to know?
LOL
I concur with Scorpio/8th house/pluto stuff. Especially with contacts to personal planets and Mercury, yes, is a big one---for me anyway. (I have Merc in Scorpio and an 8th house stellium)
But, I have to bring up Neptune again. If you are neptooned---confused, in chaos, having a nightmare, stoned---who doesn't get paranoid when they are stoned at times?--then paranoia will find you. Yep, it will.
HA, for once I can't place all the blame on Pluto!