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If their mania is aggressive/threatening, I’d avoid engaging. But less severe cases I would suggest talking over at an agreed place, with 1-2 other people around as referees. If they’re not threatening or aggressive, it may be possible to get them out of their own head.
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No, these people are severely delusional and I would absolutely never ever meet with them. It's a legitimate mental disorder, like schizophrenia, you can't just talk someone out of schizophrenia.
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For example, last year I posted a photo of me flying on a plane; one of my stalkers (who I had NEVER responded to) thought i was coming to him, and waited at a park for me all day. Did it deter him after I never showed up? Nope, not at all.
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