chapter ten symptoms of amor deliria nervosa : phase one preoccupation ; difficulty focusing dry mouth perspiration , sweaty palms fits of dizziness and disorientation reduced mental awareness ; racing thoughts ; impaired reasoning skills phase two periods of euphoria ; hysterical laughter and heightened energy periods of despair ; lethargy changes in appetite ; rapid weight loss or weight gain fixation ; loss of other interests compromised reasoning skills ; distortion of reality disruption of sleep patterns ; insomnia or constant fatigue obsessive thoughts and actions paranoia ; insecurity phase three ( critical ) difficulty breathing pain in the chest , throat , or stomach difficulty swallowing ; refusal to eat ; complete breakdown of rational faculties ; erratic behavior ; violent thoughts and fantasies ; hallucinations and delusions phase four ( fatal ) emotional or physical paralysis ( partial or total ) ; death if you fear that you or someone you know may have contracted deliria , please call the emergency line toll-free at 1- 800-prevent to discuss immediate intake and treatment .