Stalking and harassment — structured clinical viva

Refuse binary "dangerous/not". Translate into multi-domain residual risks under stated conditions, with mitigations and uncertainty.[7][4]

Constructs. This is stalking as behaviour plus an erotomanic delusional driver. Mullen intimacy-seeking type; RECON private stranger / professional acquaintance context; historical Zona erotomanic frame. Absence of assault does not mean absence of serious harm — victim/clinic psychosocial damage and persistence are central.[1][2][6]

Risk pattern. Psychotic intimacy-seeking campaigns may show relatively lower average assault rates than rejected ex-intimates in some series, yet high persistence and recurrence if untreated, with approach behaviours (waiting outside) as dynamic concern. Assess weapons, escalation, response to limit-setting, substances, and adherence.[3][5][4]

Assessment. Multi-source chronology; structured stalking-informed tool concepts (SRP domains); MSE for delusional system and insight; map clinic access.[8][4]

Management. Do not "just ignore". Clinic security plan, no personal engagement that reinforces delusion, transfer of clinical care if needed, legal options as local process. Treat psychosis (adherence support; consider LAI/hospital if risk/access high under local criteria). Communicate scenarios: further approaches if non-adherent + continued clinic access; reduced contact if treated + access blocked + legal constraints.[1][4][7]