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==Cause== 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]], substance abuse (including cannabis use) and the use of antidepressants.<ref>{{Cite journal|last=Seeman, M.V.|date=2016|title=Erotomania and recommendations for treatment|journal=Psychiatric Quarterly|volume=87|issue=2|pages=355β364|doi=10.1007/s11126-015-9392-0|pmid=26442945|s2cid=13059293}}</ref> There may be a potential genetic component involved as family histories of first degree relatives (parents, siblings) with histories of psychiatric disorders and/or [[dementia]] are common. The disorder also has behavioral similarities to [[early onset Alzheimer's disease]] ([[mood swings]], poor [[judgement]], [[confusion]], [[hallucinations]]). [[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. Similarly, it has been explained as a way to cope with severe loneliness or ego deficit following a major loss.<ref name=":1" /> Erotomania may also be linked to unsatiated urges dealing with homosexuality or [[narcissism]].<ref name=":2">{{Cite journal|last=Kelly, B.D.|date=2005|title=Erotomania: Epidemiology and management|journal=CNS Drugs|volume=19|issue=8|pages=657β669|doi=10.2165/00023210-200519080-00002|pmid=16097848|s2cid=24253038 }}</ref> Some research shows brain abnormalities occurring in patients with erotomania such as heightened temporal lobe asymmetry and greater volumes of lateral ventricles than those with no mental disorders.<ref name=":2" />
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