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Persecution mania: what it is, how to identify it and treatment

Health

Persecution mania is the frequent feeling that one is being watched, commented on behind one’s back or is the victim of intrigue or persecution, which can cause constant distrust of other people, isolation and insecurity.

Generally, persecution mania is caused due to low self-esteem and little self-confidence, a history of physical or emotional abuse, a child who is too demanding or a perfectionist, however, especially when there are other symptoms, such as disorganized thinking, hallucinations and impulsivity, it can indicate psychosis. Understand better what psychosis is.

The best way to treat persecution is through psychological or psychiatric support, in which its cause will be investigated and, therefore, measures will be taken to combat this feeling that causes discomfort and discomfort for the person. Furthermore, treatment with medication, such as antipsychotics or antidepressants, and hospitalization may be recommended by the psychiatrist in more serious cases.

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How to identify persecution mania

The main characteristics of a person with persecution are:

  • Often feel like they are being watched or listened to by other people;
  • Believing that people are always talking about her behind her backespecially making bad comments, judgments or intrigues with the intention of harming her;
  • Excessive distrust of other peopleavoiding talking or sharing important information and ideas;
  • Thinking frequently and for no apparent reason that they are trying to harm youplotting against her, stalking or lying, for example;
  • Thinking that you are to blame for all the problemseven if not related to the person;
  • Excessively criticizing yourselfmaking frequent comparisons with other people.

Furthermore, the person may not realize that there are no real reasons to justify their distrust, which can cause resentment, anger or a feeling of insecurity and make them isolate themselves.

Sometimes, in addition to persecution, other symptoms such as hallucinations, mental confusion and agitation may be present, which may indicate schizophrenia or delirium, for example. Learn about other symptoms of delirium.

How the treatment is carried out

Treatment of persecution mania is generally done with psychotherapy and, especially in the case of illnesses such as schizophrenia, delirium or anxiety, it is important to be monitored by a psychiatrist, and medications such as antipsychotics and antidepressants may be indicated.

Especially when persecution is caused by low self-esteem and little self-confidence, it is recommended to practice physical activity regularly and look for environments and people that bring a feeling of security. See some attitudes to increase self-esteem.

Furthermore, psychotherapy is essential to overcome the difficulty of relating to other people, creating trusting relationships and dealing with feelings of anxiety and frustration.

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General practitioner from UPAEP with professional certificate nº 12420918 and degree in Clinical Psychology from UDLAP nº 10101998.

We regularly update our content with the latest scientific information, so that it maintains an exceptional level of quality.

Bibliography
  • American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. 5ed. Porto Alegre: Artmed, 2014.
  • STATPEARLS. Psychosis. 2022. Available at: <https://www.ncbi.nlm.nih.gov/books/NBK546579/>. Accessed on January 12, 2023
  • FREEMAN, Daniel. Persecutory delusions: a cognitive perspective on understanding and treatment. Lancet Psychiatry. Vol.3, n.7. 685-692, 2016
  • FREEMAN, Daniel; GARETY, Philippa. Advances in understanding and treating persecutory delusions: a review. Soc Psychiatry Psychiatr Epidemiol. Vol.49, n.8. 1179-1189, 2014