If you feel like people are following you, it could be linked to your mental health. These feelings are often caused by anxiety, paranoia, or other conditions, and support is available. 

What causes these feelings? 

Paranoia and delusions 

Paranoia means having strong suspicions or fears, like thinking you’re being watched or followed, even if there’s no evidence. 

Delusions are firm beliefs that aren’t true, such as being convinced someone is spying on you. These can be part of conditions like psychosis or schizophrenia. 

Mental health conditions 

Experiences like these can happen if you live with psychosis, schizophrenia, anxiety disorders, or dementia. 

Stress, trauma, or changes in brain chemistry can trigger these thoughts. 

Other contributing factors 

Your mood, personality, relationships, and life events can all play a part. 

Physical illness, medication, alcohol or drug use, and even tiredness or confusion may affect how you see things. 

What should I do if I feel this way? 

If these thoughts are upsetting or don’t go away, you’re not alone. Speaking to a mental health professional can help you understand what’s happening and find the right support. 

Find support 

• Learn more about paranoia and psychosis. 
• If you’re worried about your mental health, visit our get help page. 
• Talk to your GP or a mental health professional. 

You don’t have to face this alone. Reach out to Rethink Mental Illness for advice and information.