Mental Disorders

Persecution Complex

The persecution mania (delusions of persecution)  is a mental disorder in which the patient a feeling that someone was watching him and want to harm. “Chase” the patient can be anyone – people (or groups of people), animals, inanimate objects. Like other types of delusions, refers to key signs of dementia.


The exact cause of the disease is still not established. Doctors suggest that causes delusions of persecution are:

  • genetic predisposition;
  • disruption of the Central nervous system;
  • psychological trauma (the negative environment in the family, at work, social problems);
  • alcohol poisoning;
  • medicinal poisoning;
  • brain damage (Alzheimer’s, atherosclerosis of cerebral vessels);
  • stress disorder.

The symptoms of persecution mania

Symptoms of persecution mania very extensive. The patient seems that he is constantly watching and want to harm him or his property. As “pests” and “persecutors” there may be loved ones, relatives, work colleagues, neighbors, ordinary passers-by, the government, religious and cult communities. Also, a person may “pursue” unrealistic creatures (vampires, zombies, werewolves), animals or inanimate objects. The patient can precisely specify the date of commencement of the prosecution, who haunts him, and for what purpose. Any unpleasant accident or unfortunate life events perceived as attempts of harm from “spyware” and “persecutors”.

Characteristic delusions of persecution symptoms are as follows:

  • the constant feeling that someone is threatening and stalking;
  • a tendency to self-isolation;
  • introversion
  • distrust of the people;
  • insomnia because of the fear of sleep;
  • bouts of aggression, fear;
  • suspiciousness.

The stage of the disease

The disease has three stages of development:

  • Stage 1 – the patient has the first signs of the disease, there is anxiety, introversion
  • Stage 2 – pronounced psychic symptoms the patient becomes an antisocial personality, he is unable to attend work, chat with friends and family;
  • Stage 3 – serious condition of the patient, there is depression, fear, aggression, attempts of suicide or harm to others.


To determine how to treat the mania of persecution, psychotherapist will hold a conversation with the patient, and then may appoint the following studies:

  • magnetic resonance imaging of the brain;
  • x-ray of the brain;
  • electroencephalography.

Treatment of delusions of persecution

Required for persecution mania treatment is usually performed in a hospital and includes:

  • electroconvulsive therapy (in severe cases);
  • sedatives;
  • tranquilizers;
  • psychotropic drugs;
  • psychotherapy (cognitive-behavioral and family therapy).

If causes of diseases are alcohol, drugs, medications, discontinue their use and rehabilitation. 

Almost all diagnosed cases of persecution mania, the patient categorically refuses to recognize his illness, so you need the assistance of relatives to make an appointment to the psychiatrist and to continue to hospitalize and treat the patient. Refusal of treatment can threaten serious complications: the patient may be socially dangerous and cause harm to yourself or others.


The lack of timely treatment of the disease can lead to complications:

Risk group

At risk are:

  • people with a genetic predisposition;
  • people who received injuries to the head or after brain surgery;
  • people with diseases of the Central nervous system.


There is no single method of prevention of the disease, but there are some points following which you can prevent the disease:

  • timely diagnosis and treatment of all diseases (both General and mental);
  • refusal of alcohol and drugs;
  • avoidance of stressful situations.

In dealing with the patient suffering delusions of persecution, it is not necessary to prove him wrong. In such cases, the patient can take to dissuade the person in the category of enemies.

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