Reality- the audience can't tell whether what's happening is in the characters mind or whether it's real and neither can the character. As seen in shutter island, the audience find out what's happening at the same time as the character making it exciting.
Perception-Characters are lost in the narrative, they can't see what's happening as they get very confused because their point of view is usually very different from other characters.
Mind- Characters are in a constant debate with their own mind on what emotions they feel or where they are.
Death- Involved in death in film, either have killed someone, want to or are going to kill themselves.
Violence- results in death usually, relates a lot to the fact the character will probably kill someone.
Obsession-Character feels obsessed with finding something out, won't stop until they do
Guilt: The character is guilty of doing something which is why they become mentally ill in the first place
All of these films are expected in a psychological thriller, though the film can include other elements like romance in order to make an in depth plot to the film i.e:
A man murdered his wife because of a mental illness and the film shows a progression of their relationship.
If a film doesn't contain at least one of these, it can't be classed as a film of this genre as the certificate would differ and the storyline would be quite different.
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