It often seems to me that neurotypical humans are on the other extreme. They are always overly optimistic, sometimes almost to a pathological degree. Pathological—at least in the system we find ourselves in today (as opposed to ten-thousand years ago).
People take medications for paranoia not just because they want to stop being paranoid, but because they experience terrible anxiety, depression, or other bad feelings alongside/because of the paranoia.
You can be "paranoid" and healthy, if your paranoia doesn't affect your well-being or happiness, and/or if your paranoia is justified.