ABSTRACT
This chapter provides a case of a 21-year-old man who presents in an extremely frightened state. He is absolutely convinced that he has been followed and his life is at risk. When walking through town he was sure people were watching him, talking about him and planning how to kill him. He can trust no one including his friends. He is clearly frightened and suspicious, constantly looking around and trying to check what is going on. He makes intense eye contact when not looking elsewhere. He struggles to focus on the interview. His speech is rapid and his thoughts are not coherent. He jumps around from topic to topic. His mood is labile in that at times he seems to settle down but then quickly becomes alert and appears to be overactive. He has delusions of persecution and rather grandiose ideas about his own skills.
