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It’s not US exclusive. I’m in NZ and I spoke to a guy once who claimed to be a victim of gang-stalking. He didn’t call it gang-stalking explicitly, but the things he was describing pretty much lined up with the gang-stalking conspiracy.
I knew someone who thought that they were being gangstalked. They they thought that everyone around them was putting gay thoughts into their head.
I think most victims won’t initially think you’re in on it unless you’re making a stink about it on spaces dedicated to gangstalking. As long as you don’t try to invalidate someone’s existence they won’t dislike you which is also a general rule in life.
Mental health services are beyond most TIs budgets anyway.
Most TIs that I’ve met have been fairly nice people, albeit a bit withdrawn.
The FBI and CIA and others have a long history of playing mind games with targets. But they’ve typically associated with organizations with some notoriety.