To: any psychologist/psychiatrist, do people who commit horrific acts in the midst of an episode feel intense guilt after treatment?

I’ve recently seen a number of stories about people in the throes of mental illness committing various horrific acts. Some that come to mind was a man who beheaded a random child on the sidewalk bc he thought the child was a demon or the dude who suddenly stabbed his seat mate on the bus. The last one I know was eventually released after years of treatment and staying on medication. My thoughts are: if I were to come back into a state of mental stability and realize what’d I’d done I don’t know if I could live with myself or want to be sane. I was curious if anyone had any experience or insight into if such rehabilitated people struggled with those feelings or if they still felt the killing was justified?


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