I have this the hole time especially in crowded places. I have to clench my lips between my teeth so that I can't accidently speak my thoughts. I also sometimes have trouble controling my thoughts so I will think of something disgusting and then be affraid that people heard. I also do the same thing: asking if people can hear me. I think it's probably just paranoia like you said.
I AM PARANOID PEOPLE CAN HEAR MY THOUGHTS
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I have this the hole time especially in crowded places. I have to clench my lips between my teeth so that I can't accidently speak my thoughts. I also sometimes have trouble controling my thoughts so I will think of something disgusting and then be affraid that people heard. I also do the same thing: asking if people can hear me. I think it's probably just paranoia like you said.