PT - JOURNAL ARTICLE AU - Mahmood Ghahramani AU - Vinobha Gooriah TI - Chronic Fatigue Syndrome Associated with a Psychotic State Resulting in Multiple Murders DP - 1995 Dec 01 TA - Journal of the American Academy of Psychiatry and the Law Online PG - 613--616 VI - 23 IP - 4 4099 - http://jaapl.org/content/23/4/613.short 4100 - http://jaapl.org/content/23/4/613.full SO - J Am Acad Psychiatry Law1995 Dec 01; 23 AB - A 28-year-old, ambitious, academically successful Asian man with a zeal for hard work develops infectious mononucleosis and its resultant lethargy and fatigue. He becomes depressed, then develops symptoms of mania before turning floridly psychotic. In his psychotic state he develops grandiose delusions about being the second son of God after Christ and takes it upon himself to rid the world of all evil by defeating the anti-Christ. He kills four people and seriously injures a fifth. He is arrested and found not guilty by reason of insanity. He remains a diagnostic puzzle for a long time before starting to respond to neuroleptic medication.