ErotomaniaErotomaniaDescription, Causes and Risk Factors:Erotomania is a rare disorder in which an individual has a delusional belief that a person of higher social status falls in love and makes amorous advances towards him/her. It is a paranoid state that is chronic in course and sometimes occurs independently as a pure case of primary form, or as a secondary form when the condition is part of generalized psychosis process, most often paranoid schizophrenia, bipolar affective disorder. Most frequently, the patient are men who have delusions that a woman who is socially more prominent is in love with them.There is no solid cause has been verified by psychologist but the most widely accepted theories that they have formulated is that erotomania rooted since childhood. The lack of affection during childhood is the most plausible hypothesis; however, some psychologist said this is most common in female.Erotomania is often associated with stalking behavior but most cases of criminal sexual harassment typically involve former partners or former employees/coworkers, close friends, and even relatives.Erotomania occurs in people with intellectual disability and must be recognized and treated. No one knows precisely how common erotomania is, but mild versions occur often enough that every incorporation and corporation probably has a few cases. Co-workers often know.Symptoms:Signs may include:A delusional conviction that he has a "love connection" with the intended target, including covert messages being passed back and forth.
  • Erotomania is often a fixed delusion.
  • The erotomanic intrudes on your privacy, does not respect your express wishes and personal boundaries and ignores your emotions, needs, and preferences. To him - or her - "love" means enmeshment and clinging coupled with an overpowering separation anxiety (fear of being abandoned). He or she may even force himself (or herself) upon you sexually.
  • The intended target is usually of a much higher rank or social status.
  • Those afflicted with erotomania all have ideas of reference, which are beliefs that certain elements or means of communication are meant directly and specifically for them alone.
  • When the "relationship" looks hopeless, many erotomanics turn to violence in a spree of self-destruction and in many cases even suicide.
Diagnosis:The diagnosis is not the same as obsessional love, which generally does have at least initially a base of real contact and or a relationship between the individuals.Diagnosing erotomania can be exceedingly difficult because many people fail to heed the warning signs of this condition, often blaming it on other emotions, mixed feelings, or misplaced attraction. Based on the DSM-IV model, the core theme of the delusion is that the targeted person is in love with another individual, which many authors contradict.Treatment:In order to best treat erotomania, the first step is honing in on the underlying cause of the issue: how and where it began, the situation around it, and the underlying circumstances that can be managed with pharmacological and non-pharmacological treatment. As this condition is seen as not completely curable, and can re-occur, follow-up is essential in each individual case.The combination of psychotherapy and pharmacotherapy is the most effective. Medication therapy may include risperidone and antidepressant fluoxetine. Recreational and cognitive behavioral therapy has proved to be very effective in majority of cases.NOTE: The above information is educational purpose. The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition.DISCLAIMER: This information should not substitute for seeking responsible, professional medical care.


  1. Kym Peters

    How common is erotomania in males. I am a 54 yr old male, with a diagnosis of Borderline Personality Disoreder. But I have had serious issues with becoming very attached to female support workers. i was abandoned by my mother, on my 7th birthday and was brought up in care. I only had female staff, looking after me. I have previously seen a psychiatyrist who suggested Erotomania. But being a mental health nurse, i managed to talk it down to BPD. I am wondering if I was wrong.

    Kind Regards

    Kym Peters

    • editor-m

      Erotomania in males is not very common. Psychiatrists associate erotomania with other mental disorders but note that not always these disorders are the cause of erotomania. Therefore, even if you rid of these pathologies, it does not mean that you will not have erotomania.


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