RT Journal Article SR Electronic T1 Chronic Fatigue Syndrome Associated with a Psychotic State Resulting in Multiple Murders JF Journal of the American Academy of Psychiatry and the Law Online JO J Am Acad Psychiatry Law FD American Academy of Psychiatry and the Law SP 613 OP 616 VO 23 IS 4 A1 Ghahramani, Mahmood A1 Gooriah, Vinobha YR 1995 UL http://jaapl.org/content/23/4/613.abstract 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.