Delirium — Paranoid Parish-Blade gets +1/+0 and has first strike as long as there are four or more card types among cards in your graveyard.
The mind is perfectly capable of creating its own monsters.
Losing or gaining first strike after first-strike damage has been dealt won’t cause Paranoid Parish-Blade to deal combat damage twice or to not deal combat damage.
The card types in Magic are artifact, creature, enchantment, instant, land, planeswalker, sorcery, and tribal (a card type that appears on some older cards). Supertypes (such as legendary and basic) and subtypes (such as Human and Equipment) are not counted.
The number of card types matters, not the number of cards. For example, Wicker Witch (an artifact creature) along with Catalog (an instant) and Chaplain's Blessing (a sorcery) will enable delirium.
Because you consider only the characteristics of a double-faced card’s front face while it’s not on the battlefield, the types of its back face won’t be counted for delirium.
In some rare cases, you can have a token or a copy of a spell in your graveyard at the moment that an object’s delirium ability counts the card types among cards in your graveyard, before that token or copy ceases to exist. Because tokens and copies of spells are not cards, even if they are copies of cards, their types will never be counted.