A Streak of Madness

A 37-year-old man’s sudden lapse into mania and paranoia eludes diagnosis until a final clue emerges.

Kurt, like many patients brought to the psychiatric emergency room, arrived at the hospital in handcuffs. “We’ve got a streaker,” said the triage nurse. On a cold December evening, something sent this 37-year-old man running naked through the streets. Kurt had argued with the staff at the rental office in his apartment complex. When they threatened to evict him if he didn’t start paying his overdue rent, Kurt called the police. Then, deciding that the voice on the phone w…

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