

West recites lines that depict a negative image and reveal feelings of opposition towards the lady he is referencing.

The song's lyrics are used in the first verse by West to show that even though the song may seem positive, its background circulates around conflict and death. West begins the song with him saying "Why are you so paranoid?" in an excited voice. Its instrumentation has a synth-pop feel nodding towards influences such as English musician Phil Collins and pop rock band Tears for Fears instrumentation, including electronic drum effects and pop synths. "Paranoid" is an upbeat new wave song that runs for a duration of four minutes and thirty-seven seconds, and includes an electronic sound throughout. West had been looking for an electronic sound with the album, which is included throughout the song. Though the majority of the album sees West at his most vulnerable, "Paranoid" is one of the album's most joyful songs. 808s & Heartbreak track " Welcome to Heartbreak" stood as the first ever collaboration between the two, though they later collaborated on numerous other tracks, including Kid Cudi's " Erase Me" and West's " Gorgeous". Kid Cudi has been believed to have directly influenced the album's creation, which West himself confirmed as being true. He subsequently co-wrote several songs on the album in Hawaii with West, including "Paranoid" and " Heartless". West and Kid Cudi first met each other at a Virgin Megastore in 2004, with the meeting including Cudi asking West to sign him West respectfully declined his request, though Kid Cudi told him "I have the potential for greatness." After producer Plain Pat sent West Kid Cudi's mixtape A Kid Named Cudi, West arrived at the mixtape's listening party and took Cudi under his wing. Mr Hudson subsequently released his debut studio album Straight No Chaser under GOOD Music in October 2009, with West contributing vocals on the single " Supernova". After featuring Hudson on "Paranoid", West signed him to his label GOOD Music. Outside of his feature on the song, Mr Hudson helped write and produce 808s & Heartbreak track " Street Lights". The song includes a feature from Mr Hudson, pictured in 2009. Since its release, the song has been covered by artists such as the Suzan and Kali Uchis.

A remix, featuring Mr Hudson and rapper Big Sean, was released in December 2008. Based around a fantasy from her paranoid mindstate, the video received positive reviews from critics. An accompanying music video, directed by Nabil Elderkin and starring Rihanna, was released on June 3, 2009. West and Mr Hudson have performed the song live together on numerous occasions, including at the 2009 iTunes Festival. It charted at number 14 and 90 on the Belgium Ultratip Flanders chart and Australian Singles Chart respectively in 2009. The song received generally positive reviews from music critics, with the majority of them being complimentary towards the production, while some critics compared "Paranoid" to the works of other artists.
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Later that year, the song was released for digital download in both the US and Belgium. It was serviced to top 40 radio stations in the United States on March 23, 2009, as the fourth and final single from the album. The song's lyrical content is centered around West being pushed away by the mistrustful thinking of a woman that he is in love with. Musically, it is an upbeat new wave track that features electronic drum effects and pop synths. The song was written by West, Jeff Bhasker, Plain Pat, Consequence, and Kid Cudi, and produced by West, Bhasker, and Plain Pat. It includes a feature from English musician Mr Hudson and background vocals from Kid Cudi. " Paranoid" is a song by American recording artist and record producer Kanye West, from his fourth studio album, 808s & Heartbreak (2008).
