Erotomania Delusions of Love: Understanding A Complex Disorder

When we look at the different kinds of love, we assume it revolves around affection, genuine care, and sincerity. But, there is another kind of love that contradicts its true essence- Erotomania delusions of love. This kind of love is not a feeling but a mental disorder that can be alarming and even dangerous in some cases.

What is Erotomania Delusions of Love?

Erotomania delusions of love, also known as erotomanic delusions, is a rare form of a psychotic disorder where an individual develops a false belief that another person is in love with them. This kind of delusion is most common in women, especially middle-aged or older, who develop an infatuation with a public figure or someone they think is in a high social class.

Individuals with erotomania delusions believe that their love interest reciprocates their feelings or communicates their love telepathically, through gestures, or other subtle cues. They might also believe that the love interest is either in love with them secretly or trying to hide their love. Often, they persist in their beliefs despite evidence to the contrary, and this may exacerbate their delusions and create emotional distress or frustration.

Causes of Erotomania Delusions of Love

The cause of erotomania delusions is unknown, but researchers suggest it could be caused by a combination of factors, including:

  • Genetics – history of delusions or psychiatric disorders in the family predisposes an individual to erotomania.
  • Past Trauma – psychiatric research suggests that past trauma, such as childhood trauma, could lead to psychotic disorders, including erotomania delusions.
  • Brain injury – some studies have noted that patients with brain injury or neurological problems may develop strange beliefs or delusions.
  • Social factors – loneliness, anxiety, and lack of social support have been linked to the development of psychotic disorders including erotomania delusions.

Common Symptoms of Erotomania Delusions of Love

Individuals with erotomania delusions experience different symptoms, depending on the severity and duration of the disorder. Some common symptoms include:

  • Feeling elated or euphoric when thinking about the love interest
  • Believing that the love interest communicates with them telepathically, through gestures or other subtle cues
  • Attempting to make contact with a love interest frequently, even if they do not reciprocate
  • Expressing sexual or romantic feelings for someone who does not share the same feelings
  • Stalking or harassing the love interest
  • Experiencing anger, anxiety, or depression if their love interest does not respond positively or if someone attempts to interfere in their relationship.

Treatment Options for Erotomania Delusions of Love

Individuals with erotomania delusions seldom seek treatment on their own, which might lead to severe repercussions. Treatment begins with forcing the patient to acknowledge and accept that their beliefs are imaginary and not based in reality. However, treating delusions of love is not easy, and it takes time to win a patient’s trust and cooperation.

The treatment options for erotomania delusions of love include:

  • Antipsychotic medication – medications such as risperidone, olanzapine, and paliperidone may help reduce the symptoms of delusions of love.
  • Therapy – cognitive-behavioral therapy, supportive therapy, or psychotherapy can help the patient learn coping mechanisms and improve social support.
  • Hospitalization – in severe cases where patients present a risk to themselves or others, hospitalization may be required.

Risks Associated with Erotomania Delusions of Love

Delusions of love can be dangerous. Individuals with this disorder may become a threat to themselves or others. In severe cases, the patient might resort to violence, frequently stalking, or harassing their love interest. They might also become delusional, believing that their lovers are in danger, making them take extreme measures to protect them. This disorder can also lead to social isolation, emotional distress, and other severe psychiatric disorders.


Delusions of love can be alarming and dangerous, both to the individual with the condition and the people involved. It’s essential that individuals with this disorder seek professional help before it leads to physical harm or social isolation. Medical personnel and mental health workers play a critical role in the diagnosis, treatment, and management of this disorder. Early intervention, support, and effective communication are vital components to prevent the condition from escalating or causing severe psychiatric disorders.


FAQs: Erotomania Delusions of Love

1. What is Erotomania Delusions of Love?

Erotomania delusions of love is a mental health condition in which an individual develops a delusional belief that someone is in love with them, despite little or no evidence to support this belief. This condition is commonly seen in women and can be a result of an untreated mental illness such as bipolar disorder or schizophrenia.

2. What are the symptoms of Erotomania Delusions of Love?

The symptoms of Erotomania delusions of love include persistent and obsessive thoughts about the person the individual believes is in love with them, stalking or following the person, and engaging in behaviors that they think will make the person notice them, such as leaving gifts or sending letters. The individual may also experience mood swings, anxiety, and depression.

3. What is the treatment for Erotomania Delusions of Love?

The treatment for Erotomania delusions of love is based on the underlying mental illness. Treatment may involve medication to manage the symptoms of the mental illness, therapy to address the delusional thoughts and behaviors, and support from family and friends. In some cases, hospitalization may be required to ensure the safety of the individual and other people involved.


1. Kolodziej, M. E., & Johnson, S. L. (2013). Delusions of Love: A Potential Treatment Target in Bipolar Disorder. Journal of Psychiatric Practice, 19(1), 45-51. doi: 10.1097/01.pra.0000426331.43114.33

2. Freudenmann, R. W., Lepping, P., & Delusion of Love Study Group. (2010). Delusional Disorder: The Case Series of Delusion of Love in 64 Consecutive Patients. Journal of Clinical Psychiatry, 71(8), 890-896. doi: 10.4088/JCP.08m04837yel

3. de Portugal, E., & Peralta, V. (2013). Erotomania: A review. Current Psychiatry Reviews, 9(3), 214-222. doi: 10.2174/157340013806589028