Sandford invests the villains with enough psychotic quirks to keep the action fast, jumpy and violent.
"I'd been to see the prison doctor a few times and told him how I'd been feeling," says Carl. "He'd give me a form to fill in – you know the kind, tick boxes, rate your own mental fragility on a scale of one to ten, that kind of thing – then he'd hand it back, and tell me I wasn't depressed or psychotic or anxious enough for medication.
They cannot be held for very long, only a few days in most cases, but that is at least long enough to start psychotic patients on drugs that may ease their symptoms, he said.
Inclusion criteria for all were a) age between 16 and 65, b) not suffering from a psychotic disorder and c) literate enough to answer the questionnaires with help.
Depression alone can be psychotic if it is severe and disabling enough, and particularly if it is accompanied by delusions, hallucinations, or paranoia.
"The fact that Brown's THC level was 'over twice' this arbitrary number, as Alizadeh emphasized, does not necessarily indicate he was too stoned to drive, let alone that he had consumed enough marijuana to precipitate a psychotic break".
But there are people who are psychotic, hallucinating, and delusional and aren't well enough to self-direct care.
Even among those who previously had chronic psychotic symptoms, perhaps 20-30% will have improved enough over time that medication is no longer necessary.
Over the next year and a half, both had psychotic episodes, were hospitalized and then were determined well enough to return to the home.
