Are these symptoms of autism or something else?

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I have autism but I think I might also have a mental illness that is not related. I have seen a counsellor and a psychiatrist. I was prescribed Abilify. However I do not have a diagnosis of anything but autism. I have mood swings and I get angry at things that are quite minor. I sometimes have periods where I am more energetic than usual and I talk more and get irritable as well. I also have periods where I am very sad. I have used drugs and alcohol to get rid of these feelings, especially paranoia which I get when I am stressed or when I am in new situations. My paranoia used to get super bad before I started taking medication. I would see people talking and assume they were talking about me. I would think I heard them talking about me. I would think that complete strangers hated me. I sometimes think I am a toxic person and that I am bad for other people. I isolate myself because of these feelings. I dont know if this is an autism thing or not. I am confused currently. I also get feelings that people are trying to manipulate and brain wash me.

You need to talk to your doctors. It sounds like (from someone that is not qualified to write that) anxiety and depression. While Social Anxiety Disorder and General Anxiety Disorder can be co-morbid with ASD, many people with ASD suffer from anxiety and depression without those clear diagnoses (like me). Nor do you need a diagnosis to be treated--the anxiety or depression does have to present, but not diagnosed with a specific diagnosis.

But medical help is important as you need the right interventions. It is important to take care of these things.

I can't answer, but out of curiosity, did you or your parents have any involvement with the occult or witchcraft etc? Only asking because some issues seem to me like they could be spiritual issues.
I will say though that I do not know much about the mental side of things in this area and I am no expert at all. I have only learned about autism for just over a year as I was trying to find out what was causing the issues that I had.

I think we on the spectrum have an inherent inability to properly regulate our stress responses.
Over time, high stress levels can cause imbalance in our nervous system and/or endocrine system with effects such as adrenal fatigue, hyper-sensitive amygdala and fluctuating neurotransmitter levels, which give symptoms similar to mixed anxiety/depression, c-PTSD and/or autism burn-out.
You don't have to accept this as part of autism as it is caused by a combination of autism and stressors in our environment, and it should be treatable as long as you can find ways to keep your stress levels low and avoid triggers.
I suggest you consider it a comorbid condition and seek treatment.

The highs and lows could be a touch of bi-polar, or just the result of being overwhelmed at times. Depression, etc. is a common response to social isolation, and AS contributes to that.

The extreme mood swings and the paranoia reminded me to Borderline Personality Disorder. I don't know your gender, but it's said to be more common among females - however some researchers pointed out it might be because like autistic symptom lists was initially created by examining boys and said to be a disorder affecting men only, the same misconception happened with BPD, but the other way around.

Try to read about the stuffs people listed here and check them with your consultant.

Have a nice day!