For me anxiety comes first. This leads to increased arousal and soon lack the ability to filter insignificant things out. If this last long enough my psychotic brain fills in dots erroneously and BAM - delusions of reference.
Some doctors say the psychosis always comes first, then the anxiety.
But for my reasons above I don’t think that is the case.
For reference I have sz diagnosis plus a separate anxiety diagnosis
I am anxiety free…I had a panic attack that severely affected me and I couldn’t leave the house…my mom went with me and through therapy I learned to “unplug the fear” associated with anxiety and panic…now I can go almost anywhere publicly without anxiety…I hope you try to overcome your anxiety. put on “outside” and I will right now too…haha