Any time there is a concern about your mental health, it should be investigated to prevent the development of future problems. You are doing the right thing by asking for help.
I have written about the “Truman-show” delusion in response to similar questions but to summarize, it is not an official mental health diagnosis. Its closest diagnostic classification might be delusional disorder, persecutory type. People with that disorder believe that someone is out to get them, someone is cheating them, someone is spying on them or otherwise mistreating them. The delusional belief centers on their being targeted and that certain events are not coincidental.
You ended your letter by saying that you lack mental health insurance coverage but this should not preclude you from seeking treatment. Many communities offer free or sliding-scale services through community mental health centers. Call your local community mental health center to discuss your options. You can also contact your local health department for assistance. The staff can refer you to free or low-cost services.
It may take some effort to determine if mental health services are available to you but it is very worthy of your time. When it comes to the potential development of a psychotic disorder, prevention and early treatment are of profound importance. Please take care.
Dr. Kristina Randle