Out of sight, out of mind
First there was insomnia; next hallucinated white mice were chased around the room with a broom; and then, the final straw, an attempt to jump in terror out of a moving vehicle.*
The family GP had little hesitation in choosing to section this bipolar disorder patient to prevent self-harm, to the relief of his family.
On hospitalisation, a psychiatrist soon identified the use of
St John’s wort, a herbal supplement sometimes taken for mild depression, as the trigger for the rapid psychotic breakdown. The psychiatrist explained that