The emergence of cult related activities in rural America are examined. Cul
ts and their attraction to adolescents are addressed as are methods of cult
indoctrination and a profile of cult members and their leader. Clinical ma
nagement along with a rationale for the attraction of some adolescents to c
ults are discussed. A case study of a vampire cult and the psychopathology
identified in the leader of the cult are provided. Import for clinicians is
offered.