Erotomania

Although he primarily fixated on the female college student, secondary interests included another student and the Associate Dean that was responsible for reviewing the allegations made against him. In the emergency department, the patient underwent a full laboratory workup consisting of a basic metabolic profile, complete blood count, rapid plasma reagin, and thyroid panel, all of which showed no significant findings.

What is erotomania?

Urine drug screen was positive for cannabis. During the diagnostic interview, no mood symptoms were elicited, and no evidence of hallucinations, disorganized thoughts, or disorganized behavior was endorsed. The patient was diagnosed with delusional disorder, erotomanic type, due to the presence of nonbizarre delusions regarding multiple women being romantically interested in him despite no supporting evidence. Narcissistic traits were detected; however, his symptomatology was felt to be more consistent with a psychotic process. Second-generation antipsychotics are considered first-line pharmacologic treatment for delusional disorder, and previous reports have described success with olanzapine and risperidone, with those being the most frequently prescribed agents [ 3 ].

Erotomania - Wikipedia

Despite 14 days of treatment at that dosage, there was minimal improvement. A decision was made to transfer the patient to another hospital for further treatment after his college informed us that he had been calling both the Associate Dean and the female student. After transfer, he was lost to follow-up. Delusional disorder remains a rare diagnosis, with the persecutory subtype being the most common and the erotomanic subtype being much rarer.

The case of Mr. L is unique in that most cases of erotomania involve false beliefs about only one individual, and this is possibly the first reported case in which an individual with delusional disorder utilized social media as a means to facilitate his stalking behavior and augment his delusions. A previous report discusses the possibility of social media induced psychosis and how the use of symbolic language and interactive features on Twitter could contribute to or even worsen existing delusions [ 4 ].

Using Facebook and Twitter, Mr. L was able to constantly monitor his female classmates despite the No Contact Order. Social networks have a presence in our daily lives and online communication can outweigh personal contact. Communication through social media can eliminate previous barriers that existed between an individual and the object of their delusions. Similarly, social media allows a form of anonymity or fictitiousness which previously did not exist.

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This case illustrates how any individual can use social media to fixate on, observe, and contact another person. Social media reduces privacy and increases accessibility for stalking behavior. Swift action should be taken to reduce the likelihood of the behavior escalating. Similarly, parents and social network users should think closely about which personal details they choose to reveal on social networks, and we would recommend making this a mandatory feature of any school orientation.

More research should be dedicated to exploring the interplay between social media and erotomanic delusions. Case Reports in Psychiatry.

• Case Reports in Psychiatry.
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• Marie-Thérèse de France (French Edition).
• Erotomania!
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These individuals are usually timid, dependent women that are often sexually inexperienced. Erotomania may present as a primary mental disorder, or as a symptom of another psychiatric illness. With secondary erotomania, the erotomanic delusions are due to other mental disorders such as bipolar I disorder or schizophrenia. Symptoms may also be precipitated by alcoholism and the use of antidepressants. Sigmund Freud explained erotomania as a defense mechanism to ward off homosexual impulses which can lead to strong feelings of paranoia, denial, displacement and projection.

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Similarly, it has been explained as a way to cope with severe loneliness or ego deficit following a major loss. Prognosis differs from person to person, and the ideal treatment is not completely understood. Treatment for this disorder gains the best results when tailored specifically for each individual. To date, the mainline pharmacological treatments have been pimozide a typical antipsychotic which was also approved for treating Tourette's Syndrome , [3] [4] and atypical anti-psychotics like risperidone and clozapine.

Psychosocial psychiatric interventions can enhance the quality of life through allowing some social functioning, and treating comorbid disorders is a priority for secondary erotomania. In most cases, harsh confrontation should be avoided. Early references to the condition can be found in the work of Hippocrates, Freud , G.

Parisian physician, Bartholomy Pardoux covered the topics of nymphomania and erotomania. In and , M. Seeman referred to the disorder as "phantom lover syndrome" and "psychotic erotic transference reaction and delusional loving". Kennedy outlined in 'Erotomania: In one case, erotomania was reported in a patient who had undergone surgery for a ruptured cerebral aneurysm.

Parallels were drawn between this and a case where the body of a homeless American man was found on a secluded traffic island within sight of Buckingham Palace. The man had sent hundreds of "strange and offensive" packages to Queen Elizabeth II over the previous 15 years.

What is erotomania?

Michael David Barrett allegedly suffered from erotomania, stalking ESPN correspondent Erin Andrews across the country, trying to see her and taking lewd videos. It is important to note that many cases of obsession or stalking can be linked to erotomania but do not always necessarily go hand in hand.

The horror of erotomania can be seen in these films: From Wikipedia, the free encyclopedia.